phenylephrine-hydrochloride and Foreign-Bodies

Topics: Child; Foreign Bodies; Humans; Nose

Two nasal foreign bodies were discovered by a dental practitioner on a routine radiographic examination of a 15-year-old autistic patient. Going over past radiographs, one of the nasal foreign bodies was detected in a radiograph performed 2 years previously. No nasal complaints or other clues to the problem were apparent. The patient was referred to the emergency room, and the foreign bodies were removed by an Ear Nose and Throat specialist, under general anesthesia. This paper reviews the diagnosis and treatment of nasal foreign bodies, and highlights the important role of the dental practitioner in the proper detection and diagnosis, prompt referral for management, and reduction in related complications.

Topics: Adolescent; Dentists; Foreign Bodies; Humans; Nose; Professional Role; Radiography, Dental

Embedded fishhooks, digital ring entrapment, and foreign bodies of the ear, nose, and superficial eye and conjunctiva may present to primary care clinics and can often be managed there. This review is a guide for primary care clinicians for effective, pragmatic, and safe techniques to address these scenarios in the office and when to refer them to a surgeon.

Topics: Conjunctiva; Eye Foreign Bodies; Foreign Bodies; Humans; Nose; Primary Health Care

Advances in endoscopic technology have allowed transnasal oesophagoscopy to be used for a variety of diagnostic and therapeutic procedures.. A review of the literature was carried out to look into the extended role of transnasal oesophagoscopy within otolaryngology, using the Embase, Cinahl and Medline databases.. There were 16 studies showing that transnasal oesophagoscopy is safe and cost effective and can be used for removal of foreign bodies, tracheoesophageal puncture, laser laryngeal surgery and balloon dilatation.. This study presents a summary of the literature showing that transnasal oesophagoscopy can be used as a safe and cost-effective alternative or adjunct to traditional rigid endoscopes for therapeutic procedures.

Topics: Cost-Benefit Analysis; Dilatation; Esophagoscopy; Esophagus; Foreign Bodies; Head and Neck Neoplasms; Humans; Larynx; Laser Therapy; Nose; Otolaryngology; Punctures; Safety; Trachea

Topics: Foreign Bodies; Humans; Nose

Foreign bodies to the ear, nose, and throat often can be managed in the emergency department, particularly if the patient offers a history consistent with foreign body and is calm and compliant with the examination and removal attempts. Tips for success include analgesia, adequate visualization, immobilization of the patient's head, dexterity and experience level of the provider, and minimizing attempts at removal. It is critical to recognize the risks involved with certain retained objects (button batteries or sharp objects) and when to call a consultant to help facilitate safe, successful removal of objects to the ear, nose, and throat.

Topics: Ear; Emergencies; Foreign Bodies; Humans; Nose; Pain Management; Pharynx

Nasal obstruction is one of the most common problems seen by pediatric otolaryngologists. Prompt treatment of nasal obstruction can be critical in newborns and infants because of their obligatory nasal breathing. Older children will typically have more inflammatory, infectious, or traumatic causes of nasal obstruction. Nasal obstruction can lead to a significant decrease in the quality of life in children along with an increase health care expenditures.

Topics: Angiofibroma; Child; Choanal Atresia; Constriction, Pathologic; Diagnosis, Differential; Endoscopy; Foreign Bodies; Health Expenditures; Humans; Nasal Obstruction; Nose; Pediatrics; Quality of Life; Rhinitis, Allergic; Tomography, X-Ray Computed

Patients with foreign bodies in their ear, nose or throat typically present to general practitioners. The safe and timely removal of foreign bodies ensures good patient outcomes and limits complications.. The aim of this paper is to outline common foreign objects and review the associated anatomy that may make removal difficult. A description of instruments and indications for use is provided, along with circumstances where specialist referral is warranted.. The use of appropriate techniques for removal of foreign bodies reduces the complications of removal and associated distress, and limits the number of cases that require surgical input.

Topics: Ear; Foreign Bodies; Humans; Nose; Otorhinolaryngologic Diseases; Pharynx; Referral and Consultation; Therapeutic Irrigation

Nasoenteric tubes provide short-term nutrition support to patients unable to take an adequate oral diet. Bridling systems may be used to secure tubes to guard against displacement. We present the first case of an avulsed magnet from a bridling system to raise awareness of this potential complication. The primary methods of securing a nasogastric tube are reviewed, and comparative assessment of the 3 main systems is presented. Diagnosis and management of nasal foreign bodies relevant to this case are reviewed and prevention/safety considerations discussed.

Topics: Enteral Nutrition; Female; Foreign Bodies; Humans; Intubation, Gastrointestinal; Magnets; Middle Aged; Nose

Topics: Ear, External; Equipment Design; Foreign Bodies; Humans; Nose; Ophthalmoscopes; Otoscopes

Endoscopes in otolaryngology may facilitate accessing the lumens and sites such as upper cervical spine with minimally invasive surgical exposure. Here, we present 2 interesting cases of youth who underwent endoscopic removal of bullets in the cranial ridge junction region.The first case was a 20-year-old young man who underwent a gunshot in the face. A CT scan showed that a metallic foreign body located inside the right lateral body of Atlas that presented a comminuted fracture. The second case a 36-year-old man who also underwent a gunshot in the face. CT scan showed a foreign body lodged in the soft tissues before the right anterior arch of Atlas cone (C1) that presented a fracture. The bullets in these 2 patients were removed under the endoscopes with minimal damage, respectively. The patients were discharged without neck activity obstacle.The advantage of endoscopic technique is obvious because limited visualization does not damage surrounding tissues, thus decreasing surgical complications. This was an interesting experience of surgical operation in this region.

Topics: Adult; Cervical Atlas; Foreign Bodies; Humans; Male; Mouth; Natural Orifice Endoscopic Surgery; Nose; Tomography, X-Ray Computed; Wounds, Gunshot; Young Adult

Computed tomography (CT) is widely used in the initial evaluation of patients with craniofacial trauma. Due to anatomical proximity, craniofacial trauma often involves concomitant injury to the eye and orbit. These injuries may have devastating consequences to vision, ocular motility, and cosmesis. CT imaging provides a rapid and detailed evaluation of bony structures and soft tissues of the orbit, is sensitive in detection of orbital foreign bodies, and often guides clinical and surgical management decisions in orbital trauma. For this reason, radiologists should be prepared to rapidly recognize common orbital fracture patterns, accurately describe soft tissue injuries of the orbit, detect and localize retained foreign bodies within the globe and orbit, and recognize abnormalities of the contents and integrity of the globe. In this review, we present a systematic approach to assist radiologists in the rapid evaluation of orbital trauma using the "BALPINE" mnemonic-bones, anterior chamber, lens, posterior globe structures, intraconal orbit, neurovascular structures, and extraocular muscles/extraconal orbit. Using this approach, we describe common traumatic findings within each of these spaces, and present common postsurgical appearances that can mimic findings of acute trauma.

Topics: Adult; Aged; Aged, 80 and over; Anterior Chamber; Child; Child, Preschool; Ethmoid Bone; Female; Foreign Bodies; Humans; Lens, Crystalline; Male; Maxilla; Middle Aged; Nose; Orbit; Soft Tissue Injuries; Tomography, X-Ray Computed; Zygoma

Otolaryngology (ear, nose, and throat) emergencies are a common complaint in the emergency department. These can present as a result of infection, trauma, foreign bodies, or postprocedure complications. The emergency department physician is called on to offer initial if not definitive management of these patients. This article discusses common ear, nose, and throat emergencies presenting to the emergency department.

Topics: Child; Ear Canal; Emergencies; Epistaxis; Eye Foreign Bodies; Foreign Bodies; Humans; Mouth; Nose; Otorhinolaryngologic Diseases; Respiratory System; Retropharyngeal Abscess

While several articles describe clinical management of foreign bodies injuries in the upper air tract, little epidemiological evidence is available from injury databases.. This article aims to understand the burden of airway FB injuries in high-, low-, and middle-income countries as emerging from scientific literature.. One thousand six hundred ninety-nine published articles 1978-2008.. A free text search on PubMed database ((foreign bodies) or (foreign body)) and ((aspiration) or (airways) or (tracheobronchial) or (nasal) or (inhalation) or (obstruction) or (choking) or (inhaled) or (aspirations) or (nose) or (throat) or (asphyxiation)) and ((children) or (child)).. Information on reported injuries according to country, time period, children sex and age, FB type, site of obstruction, symptoms, signs, diagnostic and therapeutic procedures, delay at the diagnosis, complications, number of deaths.. Serious complications occur both in high-income and low-middle income countries in a considerable proportion of cases (10% and 20%, respectively). Similarly, death is not infrequent (5-7% of cases).. Few countries have good systematic data collection and there's a lack of sensibility in parents and clinicians in terms of acknowledge of the choking risk. On the contrary, international surveillance systems able to collect information in a standardized way need to be implemented.

Topics: Airway Obstruction; Child; Developed Countries; Developing Countries; Foreign Bodies; Global Health; Humans; Larynx; Lung; Nose; Respiratory Aspiration; Risk Factors; Trachea

Rhinoliths consist of a central nidus with calcification resulting in calcareous concretions within the nasal cavity. They are uncommon in the literature despite a propensity particularly in children to insert foreign bodies into their nose and ears. We present the case of a 62-year-old woman with a longstanding undetected rhinolith with mild uncharacteristic symptoms. Radiographic examination revealed anatomical alteration of the inferior turbinate that was attributed to the long presence of the rhinolith in the nasal cavity. The management of the rhinolith and a review of the literature are presented.

Topics: Calcinosis; Female; Foreign Bodies; Humans; Middle Aged; Nasal Cavity; Natural Orifice Endoscopic Surgery; Nose; Nose Deformities, Acquired; Nose Diseases; Tomography, X-Ray Computed; Turbinates

Topics: Child; Foreign Bodies; Humans; Nose

Teeth exceeding the normal dental complement that have erupted into the nasal cavity are a rare pathological entity. This case report describes a female patient with recurrent complaints and fetid discharge from the left nasal cavity. The suspected clinical diagnosis of a supernumerary nasal tooth was confirmed by computed tomography. After endoscopic removal, the tooth was examined using X-ray microtomography and thin-section preparations; these findings are presented for the first time. A literature search identified 25 supernumerary nasal teeth in 23 patients.

Topics: Diagnosis, Differential; Endoscopy; Female; Foreign Bodies; Humans; Middle Aged; Nose; Tooth, Supernumerary; X-Ray Microtomography

Foreign bodies in the ear, nose, and throat are occasionally seen in family medicine, usually in children. The most common foreign bodies are food, plastic toys, and small household items. Diagnosis is often delayed because the causative event is usually unobserved, the symptoms are nonspecific, and patients often are misdiagnosed initially. Most ear and nose foreign bodies can be removed by a skilled physician in the office with minimal risk of complications. Common removal methods include use of forceps, water irrigation, and suction catheter. Pharyngeal or tracheal foreign bodies are medical emergencies requiring surgical consultation. Radiography results are often normal. Flexible or rigid endoscopy usually is required to confirm the diagnosis and to remove the foreign body. Physicians need to have a high index of suspicion for foreign bodies in children with unexplained upper airway symptoms. It is important to understand the anatomy and the indications for subspecialist referral. The evidence is inadequate to make strong recommendations for specific removal techniques.

Topics: Ear; Foreign Bodies; Humans; Nose; Pharynx

Topics: Adult; Child; Child, Preschool; Ear; Esophagus; Foreign Bodies; Gastrointestinal Tract; Humans; Infant; Nose; Trachea

Topics: Child; Ear Canal; Emergency Service, Hospital; Foreign Bodies; Humans; Nose; Otolaryngology; Referral and Consultation

Body piercing is increasing in popularity around the world. In this review, I describe the history, origins, and peculiarities of various forms of body piercing, and procedures involved, variations in healing time, legal aspects and regulations, and complications and side-effects. I have also included a discussion of the motivation for and psychological background behind body piercing. In presenting research results, I aim to raise awareness of the many risks associated with body piercing. In presenting psychological data, I intend to create an understanding of the multifaceted and often intense motivations associated with body piercing, and, thus, to diminish any prejudices held by health professionals against people with piercings.

Topics: Anthropology, Cultural; Cosmetic Techniques; Ear; Female; Foreign Bodies; History, 19th Century; History, 20th Century; Humans; Male; Nose; Punctures; Wound Infection

This paper reviews the efficacy of six different methods of removal of foreign bodies from the nose. Removal with a Fogarty catheter, the Ambu Bag method, nebulised adrenaline, tissue adhesive, forceps and direct suction are considered. No method appears to be obviously superior to any other.

Topics: Evidence-Based Medicine; Family Practice; Foreign Bodies; Humans; Nose; Problem Solving

Otolaryngologists frequently encounter nasal foreign bodies, particularly among children and mentally retarded patients. There are isolated reports describing the removal of unusual foreign bodies from the nose. But no comprehensive reviews of this important subject have been published for many years. This article includes a detailed discussion of the different types of nasal foreign bodies, the various clinical presentations, management options, and complications associated with nasal foreign bodies.

Topics: Adolescent; Adult; Aged; Ascariasis; Child; Child, Preschool; Foreign Bodies; Humans; Infant; Intellectual Disability; Middle Aged; Myiasis; Nose; Physical Examination

A case of an incidental finding of an intranasal foreign body on a dental panoramic radiograph is reported. The foreign body, a calculus-encrusted plastic pearl, had been asymptomatic despite being present for over 20 years. The diagnosis of a nasal foreign body in a patient is of significance if an oral surgical procedure is being planned with the patient under general anesthesia because the foreign body may be dislodged into the airway during nasal intubation. Similar reports of incidentally discovered intranasal foreign bodies on dental radiographs are reviewed. The epidemiology, diagnosis, management, and complications of nasal foreign bodies are discussed.

Topics: Adult; Female; Foreign Bodies; Humans; Nose; Radiography, Dental

Topics: Child; Female; Foreign Bodies; Humans; Magnetics; Nose; Surgical Instruments

Patients present to the emergency department with a number of eye, ear, nose, and throat (ENT) problems. This article updates some very common problems; identifies a few pearls on nasal foreign body removal, ophthalmologic medication, and epistaxis; and reviews a few pitfalls in identifying malignancies and sore throats.

Topics: Emergency Medicine; Epistaxis; Foreign Bodies; Head and Neck Neoplasms; Humans; Nose; Otorhinolaryngologic Diseases; Pharyngitis; Referral and Consultation

Topics: Burns, Chemical; Child; Electric Power Supplies; Emergency Medical Services; Female; Foreign Bodies; Humans; Nose

Positive-pressure technique for the removal of nasal foreign bodies in children is an effective alternative to restraints and instrumentation, yet it is underused. A retrospective chart review in a community hospital over a 2-year period yielded 64 cases of pediatric nasal foreign bodies. Eight cases are presented in which the positive-pressure technique was used.

Topics: Child, Preschool; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Male; Nose; Positive-Pressure Respiration

This comprehensive article reviews some of the most common injuries to the ear, nose, and throat, and in addition reviews the relative anatomy of this area of the body. Particular attention is paid to the treatment of the patient with epistaxis, a common presentation to the Emergency Department.

Topics: Abscess; Ear; Ear Diseases; Emergencies; Epistaxis; Esophagus; Foreign Bodies; Humans; Larynx; Nose; Pharynx

Nasal foreign bodies are commonly encountered in the emergency department, particularly among children and mentally retarded patients. The diagnosis should be entertained in any patient who presents with a persistent unilateral nasal discharge. Nasal foreign bodies are either inanimate or, less commonly, animate objects. Successful diagnosis and treatment of nasal foreign bodies depends on a careful examination of the nasal cavity. Because of the difficulty in extracting nasal foreign bodies and the lack of cooperation among these patients, general anesthesia should be considered if there is any question concerning the adequacy of nasal examination.

Topics: Emergencies; Foreign Bodies; Humans; Nasal Cavity; Nose

Topics: Cysts; Endoscopes; Endoscopy; Foreign Bodies; Humans; Mycoses; Nose; Nose Diseases; Nose Neoplasms; Paranasal Sinus Diseases; Paranasal Sinus Neoplasms; Paranasal Sinuses; Rhinitis; Rhinitis, Allergic, Seasonal; Rhinitis, Vasomotor; Sinusitis

Topics: Adolescent; Adult; Age Factors; Aged; Child; Child, Preschool; Female; Foreign Bodies; Humans; Iatrogenic Disease; Infant; Infant, Newborn; Lupus Erythematosus, Systemic; Male; Middle Aged; Nasal Septum; Nose; Nose Neoplasms; Occupational Diseases; Rhinitis, Atrophic; Sex Factors; Tuberculosis, Pulmonary; Ulcer; Wounds and Injuries

We aimed to evaluate the relationship between attention-deficit/hyperactivity disorder (ADHD) and self-inserted foreign bodies (SIFBs) in children by the Conners' Parent Rating Scales-Revised (CPRS-R).. Forty-five children (31 males and 14 females) with self-inserted foreign body of ear/nose and 37 healthy children (22 males and 15 females) included into the study. They were all between 3 and 9 years old. The parents filled the socio-demographic information form including age, gender, demographic data, previous medical history of the child and features of the family; and completed the Conners' Parent Rating Scales-Revised (CPRS-R) questionnaire.. In the SIFB group (study), 55.6% of the children were not attending to the school, 31.1% of them were attending to the primary school and 13.3% of them were the pre-school student. These rates were 37.8%, 32.4% and 29.7%, respectively, in the control group. The all CPRS-R subscale values (CG/I, H, ADHD-I, CGI-DI, DSMIV SS-I, DSM-IV SS-HI and DSM-IV SS-T) were significantly higher in the study group than the control group. There was no significant correlation between gender of the children and CPRS-R subscales. Children with lower school success, and having previous psychiatric problems were related to higher CPRS-R values in all subscales. In older children, hyperactivity scores were lower; and in younger children and the children, not going to the school, hyperactivity scores were higher. CPRS-R scores decreased as the child grown.. It was concluded that children with ADHD were more likely to have conditions that might damage himself/herself such as self-inserted foreign body or trauma than normal children. To avoid this condition, these families should closely observe the child; and the child should be provided to participate in activities such as group games and activities that contribute to the development of the child. Warning the children properly and close follow-up of the young children are required to prevent this unwanted condition.

Topics: Age Distribution; Attention Deficit Disorder with Hyperactivity; Case-Control Studies; Causality; Chi-Square Distribution; Child; Child, Preschool; Comorbidity; Ear; Female; Foreign Bodies; Humans; Incidence; Male; Nose; Parents; Prospective Studies; Psychiatric Status Rating Scales; Reference Values; Risk Assessment; Self-Injurious Behavior; Severity of Illness Index; Sex Distribution; Socioeconomic Factors; Statistics, Nonparametric

The treatment of nasal foreign bodies involves safe and reliable removal. Few reports have investigated the relationship between equipment and the incidence of complications.. This retrospective study included 300 patients with nasal foreign bodies (average: 3.28 years, interquartile range: 2-4 years). Patients' background, characteristics of nasal foreign body, equipment to remove the nasal foreign body, and complications were obtained from medical records. Statistical analysis was performed using Pearson's chi-square test for associated factors and the incidence of epistaxis among the complications.. Nasal foreign bodies were found and removed in 256 patients. Forceps, hooks, suction, modified paper clips, and cotton swabs were mainly used to remove the nasal foreign bodies. Epistaxis due to the removal procedure was observed in 26 patients. The occurrence of epistaxis differed depending on the equipment (p = 0.077) and was less frequent in suction and paper clips than in forceps (p < 0.05 and p = 0.077). Epistaxis was not observed when a cotton swab was used. Aspiration and septal perforation were not observed. A statistical relationship was not detected between the hardness of foreign bodies and the occurrence of epistaxis (p = 0.251). The incidence of epistaxis was higher in cases nasal foreign bodies remained for 1 day and over than in cases foreign bodies were removed within 1 day (p < 0.05).. This study revealed that suction, modified paper clips, and cotton swabs could be beneficial options for minimizing complications in the removal of nasal foreign bodies.. 4 Laryngoscope, 133:2553-2557, 2023.

Topics: Epistaxis; Foreign Bodies; Humans; Nose; Retrospective Studies; Surgical Instruments

The aim of this study is to examine the reasons and the methods of approach to the patients for the ear nose and throat (ENT) consultations requested from the patients who applied to the pediatric emergency department.. The files of 351 patients who applied to the pediatric emergency outpatient clinic and were asked for consultation from the ENT clinic were reviewed retrospectively. Demographic data, complaints on admission, diagnostic examinations, diagnoses, treatment methods, and hospitalizations were recorded.. Of the patients included in the study, 190 (54.1%) were female and 161 (45.9%) were male. The median age of the patients was 4.0 years (3.0-8.0 years). The most common diagnoses after ENT examination are; 120 patients (34.2%) had foreign body (FB) in the nose, 58 patients (16.5%) had FB in the ear, 16 patients (4.6%) had FB in the throat, 16 patients (4.6%) had epistaxis, and 15 patients (4.3%) had Bell's palsy. According to age group, it was determined that FB in the nose and ear was more common in the 0- to 5- and 6- to 11-year age group, and Bell's palsy, FB in the ear and epistaxis were more common in the 12- to 17-year age group. A normal examination was also an important finding in 83 of the patients (23.6%).. Foreign bodies are the most common reason for admission to the emergency services in children, and it is frequently seen between 0 and 5 years of age. Informing and raising awareness of parents on this topic will reduce both unwanted complications and ENT consultations along with admission to pediatric emergency services.

Topics: Bell Palsy; Child; Child, Preschool; Emergency Service, Hospital; Epistaxis; Facial Paralysis; Female; Foreign Bodies; Humans; Male; Nose; Pharynx; Referral and Consultation; Retrospective Studies; Tertiary Care Centers

This case report describes ocular and nasal leech infestation (hirudiniasis) in a dog. The patient presented for a suspected ocular foreign body. The patient was sedated to allow proper examination, which revealed a leech foreign body attached to the bulbar conjunctiva adjacent to the inferotemporal limbus of the left eye. A 3.5% hypertonic saline solution was applied topically to the eye in four sequential drops, until the leech detached itself and was removed with a cotton bud. The affected eye was found to have a small corneal ulcer, a small area of scleral haemorrhage, and prominent lymphoid follicles within the third eyelid. Approximately 5 min after the leech was removed, another leech emerged from the left nostril. The patient was sent home on chloramphenicol ointment for treatment of the corneal ulcer, was rechecked 4 days later by an American Board of Veterinary Ophthalmology resident (PM) and found to have a normal ocular exam. This case report highlights that topical hypertonic saline solution (3.5%) can be an effective and easily prepared treatment for ocular and nasal hirudiniasis in veterinary patients.

Topics: Animals; Corneal Ulcer; Dog Diseases; Dogs; Eye; Foreign Bodies; Nose; Saline Solution, Hypertonic

To investigate the factors influencing the spontaneous expulsion of fish bone foreign bodies in the throat of children.. A retrospective cohort study was conducted between January 2018 and December 2021 of children hospitalized with fishbone foreign bodies in the throat, and subsequent electronic rhinolaryngoscopy to analyze the factors influencing the spontaneous expulsion of these foreign bodies.. There is a high rate of natural expulsion of fish bone foreign body from children's throat, and the rate of expulsion increases with the increase of the foreign body inclination angle.

Topics: Animals; Foreign Bodies; Neck; Nose; Pharynx; Retrospective Studies

Topics: Anesthesia, Local; Anesthetics, Local; Bone and Bones; Endoscopy; Foreign Bodies; Humans; Lidocaine; Nose; Seafood; Tongue

Topics: Foreign Bodies; Humans; Nasal Cavity; Nose

This study aimed at investigating the type 1 hypersensitivity reaction frequency of children with nasal foreign body history.. From the medical records, we collected data regarding demographics (age and gender), symptoms, history of allergic diseases, physical examination, laboratory and test results, radiographic findings, the presence of any need for a second intervention, and complications. By reference to the presence of nasal foreign body history, two groups were constituted: the nasal foreign body group and the control group. Type 1 hypersensitivity frequency of the nasal foreign body group was compared with the control group.. Children with type 1 hypersensitivity reactions may be more likely to present with nasal foreign bodies. Physicians should pay more attention to the history of type 1 hypersensitivity reactions in children presenting with nasal foreign bodies.

Topics: Child; Foreign Bodies; Humans; Hypersensitivity; Nose; Physical Examination

Removal of nasal foreign bodies in children should be completed as few numbers of times as possible to reduce the burden on the child. This study aimed to reveal the characteristics of pediatric nasal foreign body cases that required multiple removal procedure and to investigate the appropriate removal method for each shape of foreign body.. We retrospectively reviewed patients who visited a pediatric emergency department because of nasal foreign body from November 1, 2018, to October 31, 2020. We compared the characteristics of patients, foreign bodies, and treatment between the success and failure groups in the first removal procedure. Moreover, we described the detail of patients in the failure group. We also showed final successful removal methods according to the shape of the foreign bodies.. We included 104 children in our analysis. Between the success and failure groups in the first removal procedure, there was no statistically significant difference in the characteristics of patients and foreign bodies but a significant difference in the removal method ( P < 0.001). In the failure groups, the most frequent number of times required for removal is 2 and the most common methods in the first removal procedure was the parent's kiss, most of which were performed on spherical foreign bodies in younger children, Finally, only 7 cases (6.7%) failed to remove the foreign body. According to the shape of the foreign bodies, the percentage of forceps and clamps used for successful removal was high in every shape.. There was a significant difference in the removal method between the success and failure groups in the first removal procedure, but finally, most foreign bodies were removed by emergency physicians. Therefore, further research is needed to determine the appropriate removal method for each patient and foreign body.

Topics: Child; Cross-Sectional Studies; Emergency Service, Hospital; Foreign Bodies; Humans; Nose; Retrospective Studies

Slingshots or hand catapults, historically used as a military or hunting weapon, are common toys among children and young teenagers. Their use can be dangerous as a strike to the eye or orbit can result in significant injuries including blindness. We describe a rare case of a sino-orbital foreign body caused by a slingshot injury in a young boy. The case was managed by a multidisciplinary team involving ear, nose and throat, ophthalmology and paediatrics, and the foreign body of a metal ball bearing was removed using an endoscopic transnasal approach. Although the patient made a good recovery, the case highlights the danger of slingshot devices misused by children.

Topics: Adolescent; Child; Endoscopy; Foreign Bodies; Head; Humans; Male; Nose; Pharynx

Topics: Animals; Esophagoscopy; Esophagus; Foreign Bodies; Humans; Nose; Tomography, X-Ray Computed

Foreign bodies in the nasal cavity are common in children, possibly due to their curiosity to explore body openings. The purpose of this report was to describe a case of an undetected nasal foreign body in a 10-year-old girl who presented to a pediatric dentistry clinic for a routine dental examination. A foreign body in the nasal cavity was discovered during a panoramic radiographic examination. A prompt referral to the otorhinolaryngologist was critical to confirm the diagnosis and successfully remove the foreign body. This case report demonstrates that dentists can play a significant role in the diagnosis of foreign objects in children.

Topics: Child; Female; Foreign Bodies; Humans; Nasal Cavity; Nose

Coronavirus disease 2019 (COVID-19) has changed the way we practice medicine. Standards of care are evolving in an effort to diagnose, manage, and treat the cause of this global pandemic, as well as to protect the health care workforce. These practices can have unexpected and potentially dangerous consequences, particularly for patient populations with confounding factors that put them at increased risk for complications and poor outcomes.. A 52-year-old previously healthy woman presented with 4 days of nasal pain and discharge after using a home collection kit in an attempt to obtain a nasopharyngeal viral sample for COVID-19 testing. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: With treatments, policies, and procedures that are rapidly evolving and often deviating from established, evidence-based, usual care in response to the COVID-19 pandemic, emergency physicians must be cognizant of and monitor for poor outcomes and potential downstream complications, especially in underserved patient populations.

Topics: COVID-19; COVID-19 Testing; Female; Foreign Bodies; Humans; Middle Aged; Nose; Pandemics

Nasal foreign bodies in children are common complaints encountered by pediatric otolaryngologists. We investigated clinical features, diagnosis, and treatment of nasal foreign bodies in children in a Chinese metro area.Six hundred sixty eight children with nasal foreign bodies presented to Shenzhen Children's Hospital, diagnosed and treated by the authors were enrolled from January 2016 to October 2019, causes for medical consultation, age, sex, duration, types, locations, removal, and complications were recorded and analyzed.Nasal foreign bodies were common in children between 1 and 5 years of ages (96.8%). The right nasal cavity (61.4%) was the most common site for foreign body insertion (61.4%). Most of the children (89.4%) presented for a complaint of nasal discomfort or foreign body insertion themselves, or for foreign body impaction discovered by the caregivers. Most of the foreign bodies (85.0%) were discovered within 1 day. The most nasal foreign bodies were the whole toys and toy parts (34.1%). The majority of nasal foreign bodies (99.1%) located in the antero-inferior portion of the nasal cavities and could be removed with simple instruments. The occurrence of complications in nasal foreign bodies (10.2%) was not common.The present study objectively exhibited clinical features, diagnosis, and treatment of nasal foreign bodies in a Chinese metro area.

Topics: Adolescent; Child; Child, Preschool; China; Female; Foreign Bodies; Hospitals, Pediatric; Humans; Infant; Male; Nasal Cavity; Nose; Otolaryngology; Practice Patterns, Physicians'; Retrospective Studies

Topics: Facial Injuries; Female; Foreign Bodies; Humans; Lacerations; Nose; Soft Tissue Injuries

Nasal foreign bodies (NFB) are commonly seen in pediatric patients seeking medical attention in the emergency department (ED). We aim to describe the occurrence, clinical presentation and management, of these cases, and to assess various risk factors for complications.. A retrospective analysis of a computerized patient directory of 562 children admitted to the emergency department during a 10-year period, with NFB, in a tertiary pediatric hospital.. Upon admittance, most of the children (82%) were asymptomatic. Among the symptomatic children (18%), the primary symptoms were nasal discharge (10%), epistaxis (8%) and pain (4%). Younger children (under 4 years) were more likely to insert organic materials, compared to older children. Younger children were also admitted sooner to the emergency department and were more likely to present with nasal discharge. The overall complication rate was 5%. None of the children had aspirated the foreign body. Complications included infection (2%), necrosis (0.7%), septal perforation (0.5%), deep mucosal laceration (1.5%) and loss of foreign body (1.9%). Significantly higher rates of symptoms and complications were associated with button batteries. Increased risk for complications were observed according to type of foreign body, multiple attempts to remove it, posterior insertion and left-side insertion.. Nasal foreign bodies in children are common. Mostly, patients are asymptomatic, therefore a high index of suspicion is required, for quick diagnosis and safe removal, without complications.

Topics: Adolescent; Child; Child, Preschool; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Infant; Male; Nose; Retrospective Studies; Tertiary Care Centers

The diagnosis and treatment of nasal foreign bodies usually includes a combination of rhinoscopy and imaging techniques, such as CT. The purpose of this retrospective, multicenter study was to describe the CT characteristics of nasal foreign bodies in dogs and cats and to determine if different nasal CT features exist between acute and chronic cases. Twenty dogs and six cats met the inclusion criteria. Eleven nasal foreign bodies (42%) were detected confidently with CT. The foreign body had a linear shape in 81% of cases and displayed a "tubular-like appearance" in 54% of cases. In five cases (19%), a foreign body was suspected but not clearly visible. Additional CT changes were present in the nasal passages in 96% of the cases. The presence of turbinate destruction (P = .021) and mucosal thickening (P = .014) on CT were associated with the presence of a chronic nasal foreign body. In this sample, the nature of the foreign body did not influence its visibility and was not associated with specific CT characteristics. Computed tomography may be useful in the investigation of nasal foreign bodies, however, a negative CT examination does not exclude their presence.

Topics: Animals; Cat Diseases; Cats; Dog Diseases; Dogs; Female; Foreign Bodies; Male; Nasal Cavity; Nose; Nose Diseases; Retrospective Studies; Tomography, X-Ray Computed

Topics: Child, Preschool; Dacryocystorhinostomy; Diagnosis, Differential; Foreign Bodies; Humans; Lacrimal Duct Obstruction; Nose

While children, particularly infants, are susceptible to severe and critical COVID-19 disease, over 55% of pediatric cases are present in asymptomatic or mildly symptomatic children. Aerosolized SARS-CoV-2 viral particles remain viable for up to 3 hours, raising concern about risk to healthcare workers during aerosol generating procedures (APGs) in the airway and nasopharynx. Herein we describe the first case of a nasal foreign body in an asymptomatic child with SARS-CoV-2 infection. We discuss management of this child and highlight the importance of considering asymptomatic infection and preoperative testing when planning procedures of the airway in the COVID-19 era.

Topics: Asymptomatic Infections; Betacoronavirus; Child, Preschool; Clinical Laboratory Techniques; Coronavirus Infections; COVID-19; COVID-19 Testing; Endoscopy; Female; Foreign Bodies; Humans; Infectious Disease Transmission, Patient-to-Professional; Nose; Pandemics; Pneumonia, Viral; Preoperative Care; Reverse Transcriptase Polymerase Chain Reaction; SARS-CoV-2

To analyze the data of patients with otorhinolaryngological foreign bodies and to evaluate the management and outcomes of foreign bodies to prevent complications.. A retrospective study was conducted over 8 years at Aseer Central Hospital to examine all admitted cases with foreign bodies in the ear, nose, throat, esophagus and bronchus during the period from January 2011 to January 2019. Patient demographic data, type of foreign body, and most common site were analyzed.. A total of 184 patients were admitted, including 72 (39.1%) males and 112 (60.9%) females. The age range was from one year old to 70 years old; the mean±standard deviation of age was 10.6±12.55 years. Foreign bodies were most commonly located in the esophagus (n=97, 52.7%), followed by the bronchus (n=55, 29.9%). A statistically significant difference was found, with a p-value of 0.00001. The most common site in children was the bronchus (n=39, 21%); the most common site in adults was the esophagus (n=18, 72%).. Otorhinolaryngological foreign bodies are found most frequently in preschool-aged children. The most common site in children was the bronchus, and the most common site in adults was the esophagus. Prevention measures are essential to reduce the risk of ingestion and admission, which can be challenging.

Topics: Adolescent; Adult; Age Factors; Aged; Bronchi; Child; Child, Preschool; Ear; Endoscopy; Esophagus; Female; Foreign Bodies; Humans; Infant; Male; Middle Aged; Nose; Otorhinolaryngologic Surgical Procedures; Pharynx; Retrospective Studies; Young Adult

To evaluate signalment, clinical presentation, location and type of nasal foreign bodies identified by rhinoscopy in dogs.. We retrospectively reviewed medical records from dogs that presented for consultation between April 2012 and June 2019 and were diagnosed with nasal foreign body via rhinoscopy.. Forty-two dogs met the study's inclusion criteria. Thirty (71.4%; 30/42) were purebreds. Males accounted for 59.5% (25/42) of cases. The median age was 4.0 years old and 76.2% (32/42) were dogs up to 7 years of age. Mean bodyweight was 21.8 kg and dogs weighing more than 10 kg were overrepresented (78.6%; 33/42). Sneezing occurred in 78.6% (33/42) of cases. Foreign body retrieval was achieved by rhinoscopy in all cases. The foreign body was extracted from the right nasal cavity in 52.4% (22/42) of cases and from the left one in 42.9% (18/42). Two dogs (4.8%; 2/42) presented with one foreign body in each nasal cavity. Most nasal cavity foreign bodies (90.5%; 38/42) were grass awns. Three (7.2%; 3/42) were mineral and one (1/42) was fabric. Follow-up was documented for 35 patients, of which 97.1% (34/35) experienced resolution of clinical signs. Seven cases (16.7%; 7/42) were lost to follow-up.. Nasal foreign bodies were more common in dogs up to 7 years of age and heavier than 10 kg. Sneezing was the primary clinical sign. The vast majority of foreign bodies were grass awns and rhinoscopy was an effective means of nasal cavity foreign body retrieval.

Topics: Animals; Dog Diseases; Dogs; Endoscopy; Foreign Bodies; Male; Nose; Retrospective Studies

<b>Objective:</b> The aim of this study was to evaluate cases of of ear, nose and pharyngeal (ENT) foreign body (FB) in pediatric patients referred to the pediatric emergency department of the Department of Otorhinolaryngology in Tokat State Hospital (Turkey). <br><b>Methods:</b> The paper comprises a retrospective study of all ENT foreign bodies presented to the pediatric emergency Department of Otorhinolaryngology in Tokat State Hospital (Turkey) between January 1, 2012 and December 31, 2018. Subject to evaluation were also demographic and clinical characteristics of the patients, types and anatomic locations of FBs, locations of FB by age groups, the method used to remove FBs and the distribution of FB cases by months. <br><b>Results:</b> A total of 829 FB cases were evaluated in this study. The mean age of patients was 47.8 ± 31.4 months. Of all patients, 404 (48.5%) were male, and 425 (51.2%) were female. The nose (58.7%) and the ear (20.2%) were the most common anatomical locations followed by mouth/pharynx/tonsil (12.3%), esophagus (6.2%) and the laryngotracheobronchial tree (2.4%). The most common FBs in different locations were beads in the nose (30.8%), beads in the ear (32.1%), fishbones in the mouth/pharynx/tonsil (56.8%), nuts and peanuts in laryngotracheobronchial tree (70%) and a coin/disc battery in the esophagus (80.7%). <br><b>Conclusion:</b> FB in ENT is among the emergency conditions that require different diagnostic and treatment approaches based on anatomic localizations. Proper vision, adequate equipment and immobilization are important in the removal of ENT foreign bodies in children.

Topics: Child; Child, Preschool; Ear; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Male; Nose; Pharynx; Retrospective Studies; Treatment Outcome; Turkey

Upper airway foreign body is one of the most encountered clinical situations in otolaryngology practice. In rare conditions, a living organism may be a foreign body in the upper airway. In this study, we demonstrate 19 patients with leech infestations in nose, nasopharynx, and larynx.. This study was enrolled with 19 patients between 2012 and 2016 in a regional state hospital. All of the patients were admitted to clinic with these complaints: epistaxis, hemoptysis, coughing, foreign body sensation, and bloody stool.. There were 12 male and 7 female patients. The leech was in the nose in 12 patients, in nasopharynx in 6 patients, and in the larynx in only 1 patient. All leeches are removed under local anesthesia (except laryngeal presentation). No bleeding and complication were seen after extraction of leech.. Leech can be easily diagnosed and managed in the upper aero-digestive tract without any complication and leech-associated disease.

Topics: Adolescent; Adult; Airway Obstruction; Animals; Child; Child, Preschool; Female; Foreign Bodies; Humans; Larynx; Leeches; Male; Middle Aged; Nasopharynx; Nose; Retrospective Studies; Young Adult

本文报道了北京儿童医院诊治的1例鼻腔异物变位导致支气管异物的患儿。患儿为4岁男童，因"鞘膜积液"于外院手术治疗，术中突然出现呼吸音减低，血氧饱和度下降，术后行胸片检查提示左侧支气管异物，后转诊我院。急诊行全身麻醉下硬性支气管镜下异物取出术，术中于左侧支气管取出半球形金属异物1枚，术后患儿呼吸平稳，双肺呼吸音通畅，给予雾化、抗炎治疗2 d后痊愈出院。再次阅读外院术前胸片，发现异物来源于鼻腔，麻醉过程中异物脱落变位，导致左侧支气管异物。.

Topics: Bronchi; Foreign Bodies; Humans; Nose

Topics: Child, Preschool; Electric Power Supplies; Foreign Bodies; Humans; Male; Nose

Topics: Adult; Foreign Bodies; Humans; Intubation, Intratracheal; Male; Nose

Foreign bodies (FBs) in ear, nose, and throat (ENT) are common ENT emergencies but are sometimes life-threatening. However, FBs could be avoidable by the efficient announcement about the risk of these occurrence to the public. Fish bones are commonly found as throat FBs, and small toys are commonly found as pediatric ear and nose FBs. We hypothesized that there were relationships between the occurrence of FBs and sociocultural/geographical conditions. The purpose of this study is to clarify the risk factors of FBs in ENT regions related to eating customs and weather conditions.. From April 2009 to March 2014, 94,479 patients visited the Chuo Emergency Clinic (CEC) in Osaka, which is a local emergency center for Osaka prefecture in Japan. Among them, 3229 patients with throat FBs, 577 children (0-15 years of age) with ear FBs, and 1999 children (0-15 years of age) with nose FBs were enrolled into the present study. Monthly trends in the number of throat FBs were examined in relation to fish eating customs. The monthly average of the daily ratio of pediatric patients with ear or nose FBs to the total number of patients were examined in relation to weather parameters using a database of the Japan Meteorological Agency.. The incidence of throat FBs was significantly higher in July and January (p<0.05, analyzed by ANOVA and Tukey-Kramer test), presumably because Japanese people have more chances to eat fish in these months due to the traditional fish-eating customs. There was also a significant correlation between the number of pediatric patients with ear and nose FBs and the bad weather parameters including daily rainfall (r=0.76, p=0.0043; r=0.57, p=0.050, respectively, analyzed by the Pearson product-moment correlation coefficient). This is because children would spend longer time inside on rainy days, which increases the chance of putting a small toy part in the ear and nose.. FBs in throat and ear/nose occurred more frequently in the specific periods to eat fish and rainy days, respectively. Therefore, public announcement on the risk of occurrence of FBs based on sociocultural and geographical data is helpful to prevent FBs.

Topics: Adolescent; Adult; Aged; Aged, 80 and over; Animals; Bone and Bones; Child; Child, Preschool; Ear; Feeding Behavior; Female; Fishes; Foreign Bodies; Humans; Infant; Infant, Newborn; Male; Middle Aged; Nose; Pharynx; Play and Playthings; Rain; Seasons; Weather; Young Adult

Nasal foreign body(-ies) (FB) cause local irritation, inflammation, and mucosal erosion and carry a potential risk of aspiration. The aim is to describe the management of nasal FBs in our Emergency Department (ED).. A retrospective study of 100 sequential suspected nasal FB presentations to a tertiary paediatric ED. Patient age, gender, FB typology, doctor/nurse seniority, sedation/analgesia usage, removal method, ENT referral rate, extraction time and disposition were collected. Data was inputted to Microsoft Excel®.. One hundred cases were encountered over 16 months: 51 males and 49 females. Median age was 3.4 years (range 0.8-10). Of the 73 FB visualised in the ED, 78% (57/73) were successfully removed by ED staff. Sixteen visualised in ED required ENT removal. Of those 16 FBs, 7 were removed at OPD while 9 were removed by ENT in ED.. The ED physician/advanced nurse practitioner successfully managed most children with a nasal FB in the ED. The goal of the management should be to minimise complications/repeated attempts. Formation of a national guideline to assist in ED removal and timely care will hopefully improve patient's experience. It will include guidance on topical anaesthetic use, performing radiographs for radiopaque objects not initially visualised and limiting ED staff extraction attempts.

Topics: Child; Child, Preschool; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Infant; Male; Nose; Radiography; Referral and Consultation; Retrospective Studies

This study performed a population-based analysis in the managements of adult ear, nose, and throat FBs in Taiwan.. The Taiwan Longitudinal Health Insurance Database 2000 were used, which comprises 1,000,000 beneficiaries randomly sampled in 2000 with a follow-up period from 2000 to 2013. Patients aged >18 years with ear, nose, or throat FB were identified according to the International Codes of Diseases.. In total, 94,312 adults with ear (n = 21,786), nose (n = 1007), throat (n = 62,986), airway (n = 419), or esophageal (n = 8114) FB were identified. Emergency department visits were most common among patients with esophageal or airway FB (33.3% and 25.1%, respectively). X-rays were most commonly performed for patients with esophageal FB (44.8%), and computed tomography (CT) was most commonly used for those with airway FB (4.3%). Hospitalization rate was the highest among patients with airway FB (7.4%), followed by those with esophageal (3.0%) and nose (0.7%) FB. Patients with airway FBs corresponded with the highest rate of intensive care unit stay (58.1%), longest hospital stay (10.5 days), and highest in-hospital mortality rate (25.8%). A multiple logistic regression model indicated that old age, medical comorbidities, undergoing CT, and airway or esophageal FB were associated with hospitalization among adults with FB.. Disparities were identified in the treatment of ear, nose, and throat FB in adults. This study provides population-based data that may serve as a reference for otolaryngologists in clinical FB management.

Topics: Adolescent; Adult; Aged; Ear; Emergency Service, Hospital; Female; Foreign Bodies; Hospitalization; Humans; Logistic Models; Male; Middle Aged; Multivariate Analysis; Nose; Pharynx; Taiwan; Tomography, X-Ray Computed; Young Adult

Foreign body (FB) injuries mainly occur in young children and may cause serious complications. The purpose of this study was to describe the epidemiological and clinical characteristics of FB injuries among children visiting the emergency department (ED) in South Korea and to compare the incidence and the ED results of FB injuries.Using data from the National Emergency Department Information System, FB injury-related ED visits among children (<7 years) between January 2010 and December 2014 were included. Epidemiological characteristics were analyzed in different age groups, and metropolises were compared with provinces regarding the incidence of ED visits, admission, and transfer of patients with FB injuries.In total, 51,406 pediatric patients with FB injuries visited 118 EDs over 5 years, and the annual incidence of FB injuries among children increased throughout the study period (215.1-436.5 per 100,000 population [<7 years], P for trend <.001). The most common anatomical site of the FB injury was the nose (18,479; 36.0%), followed by the pharynx (10,285; 20.0%). The most common age of patients was 1 year for alimentary tract, 2 years for nose, 1 year for respiratory tract, and 4 years for ear FB injuries. The overall admission rate was 1.8%, and the ICU admission rate was 0.04%. Four deaths occurred, and all of them were caused by respiratory FB injuries. The incidence of transfer of patients with FB injuries to other hospitals was higher in provinces than in metropolises.The incidence of FB injury-related ED visits among children younger than 7 years old in South Korea has been high and has been increasing recently. In particular, the incidence of FB injuries of the alimentary and respiratory tracts was high, especially around the age of 1. Preventive measures should be taken to decrease FB injuries among young children in South Korea.

Topics: Age Factors; Child; Child, Preschool; Cross-Sectional Studies; Ear; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Incidence; Infant; Male; Nose; Republic of Korea; Residence Characteristics; Socioeconomic Factors; Wounds and Injuries

This study aims to identify specific patterns of risk in order to contribute to the prevention of Foreign Body (FB) injuries by assessing FB injury characteristics in Indian children.. Single center case series are included in the worldwide registry on Foreign Bodies Injuries www.susysafe.org. Statistical analysis performed on FB injury data (age, medical information, FB anatomical location (ICD) and characteristics, and situational data) from 252 Indian children (0-14 years) was used to identify FB risk patterns.. The study included 252 FB injury cases, out of which 110 occurred in females (43.7%). Most of the reported FB injuries (N = 252) were located in the mouth, esophagus and stomach, or intestines and colon (34.5%), and in the nose (31.3%). The analysis of the median duration of all injuries (i.e., the difference between the reported injury time/date and the reported time/date of arrival at hospital) showed that children with a FB in the airways were those referred to the hospital latest (median of 332.50 min, p-value <0.001). With regards to FB type, the majority of FB objects were non-food items and ingestion of coins accounted for 25% of all FB injuries.. Cultural differences may exist with regards to the Indian diet being conducive to lower choking food risk for children, and to acceptability and accessibility to objects such as coins and stationery. Such findings should be taken into account when developing primary and secondary prevention strategies aimed at reducing the burden of such injuries in India.

Topics: Adolescent; Airway Obstruction; Child; Child, Preschool; Colon; Eating; Esophagus; Female; Foreign Bodies; Gastrointestinal Tract; Humans; India; Infant; Infant, Newborn; Intestine, Small; Male; Mouth; Nose; Registries; Risk Factors; Stomach; Wounds and Injuries

Topics: Female; Foreign Bodies; Humans; Maxilla; Maxillary Sinus; Middle Aged; Nose; Osteotomy, Le Fort; Postoperative Complications; Tomography, X-Ray Computed; Treatment Outcome

The present study aimed at analyzing the characteristics of FB injuries from Bosnia and Herzegovina (B&H), a rapidly growing newly industrialized country, and to compare them with cases from European countries.. The analysis is based on FB injury cases included in the Susy Safe registry. Cases from the Ear-Nose-Throat (ENT) Clinic, University Clinical Center of Tuzla (B&H) were compared with cases from European countries participating in the Susy Safe project. Multiple Correspondence Analysis (MCA) was performed to elucidate differences within a large data set regarding mechanisms and objects causing injuries.. The results of the MCA showed that the first three dimensions explained 43% of the variability. The first dimension was identified by children hospitalized for FB ingestion, the second one by children hospitalized for FB aspiration (lower airways), and the third one by children with an FB in the ear or in the upper airways. The analysis of the median of coordinates of factors contributing to each dimension showed that the greatest difference between B&H and European countries regarded the third one. Looking at the profile of these patients, it might be suggested that the proportion of males and females and the type of activity in which they were involved at time of injury occurrence are different among the countries considered CONCLUSIONS: This study proposes a simple tool for assessing differences among countries in the distribution of FB injuries. This case study shows that B&H has different patterns of FB injuries in the upper respiratory tract.

Topics: Adolescent; Bosnia and Herzegovina; Child; Child, Preschool; Ear; Europe; Female; Foreign Bodies; Humans; Infant; Larynx; Male; Nose; Pharynx; Registries; Trachea

57-year-old male was admitted to hospital for severe headache and seizure attacks on November 6th, 2016. After radiology and spinal fluid examination, he was diagnosed with viral encephalitis and treated with antiviral medicine, antibiotics and mannitol, but he was in sustained unconsciousness and weak in expectorating. The patient was given oxygen through artificial nasal after bedside tracheotomy. At 1:00 am on January 12th, 2016, there was a sudden drop in blood pressure, heart rate and oxygen saturation with left lung breath sounds slightly lower than the other side. The patient was connected to a ventilator with tidal volume of 300-500 mL and airway pressure of 16-24 cmH

Topics: Adult; Aged; Bronchi; Bronchoscopy; Female; Foreign Bodies; Humans; Infant; Lung; Male; Middle Aged; Nose; Respiratory Sounds; Surgical Sponges; Trachea

This case series is about four different foreign bodies lodged in different locations of the aerodigestive tract. All four cases had delayed diagnosis due to inconspicuous history. Radiology in the form of computed tomography aided the appropriate diagnosis in most of these cases. Though all four patients have been successfully managed by removal of foreign body, not all of them have identical outcomes. A brief discussion about predictive factors in the fish bone foreign body has been included. The authors also discuss certain critical aspects of the management, which may aid in reducing the morbidity. We emphasise on the high index of suspicion in peculiar cases and on the low threshold for radiological investigation in doubtful clinical scenarios.

Topics: Adult; Arachis; Child, Preschool; Foreign Bodies; Humans; Infant; Male; Middle Aged; Nasal Septal Perforation; Nose; Pharynx; Retropharyngeal Abscess; Tomography, X-Ray Computed

Transnasal penetrating brain injuries are rare and a medical emergency, which needs to be treated promptly. A 4-year-old male patient was brought to our emergency room with a knife sticking out of his nose. The patient was immediately taken to the operating room and the knife was removed under general anesthesia. No cerebrospinal fluid leakage or any bleeding was seen and so the operation was terminated. The authors herein report a penetrating brain trauma through to the cella turcica with a knife that improved without any sequelae at a child.

Topics: Child, Preschool; Endoscopy; Foreign Bodies; Head Injuries, Penetrating; Humans; Male; Nose

We present a case report of a traveller injured by a needlefish in the Caribbean. The needlefish leapt from the ocean and struck the traveller's face at high speed, causing a seemingly superficial puncture wound on his nose. Later, it became apparent that multiple fish bones had broken off and lodged in his nasal cavity, very narrowly missing his cribriform plate. Some bones were discharged spontaneously through his nose over the next 3 months, and one required surgical removal. Our report highlights the importance of urgent radiological examination in patients injured by needlefish, even if the external wound appears insignificant.

Topics: Animals; Beloniformes; Foreign Bodies; Humans; Male; Middle Aged; Nasal Cavity; Nose; Tomography, X-Ray Computed; Travel

This report described a case of the wry nose and rhinolith patients. A 25 years old female patient complained a sense of persistent left side of nasal congestion runny with 10 years. During the 10 years the symptom repeatedly occurrence, aggravated with peculiar smell of 1 months. A combined treatment including endoscopic sinus surgery with correction of the deviated nose and removal of nasal stone was performed in the patient.Three monthsafter operation, the patient recovered well, without recurrence, external nasal deformity, foreign bodies remain.

Topics: Adult; Calcinosis; Endoscopy; Female; Foreign Bodies; Humans; Lithiasis; Nasal Obstruction; Nose; Nose Deformities, Acquired; Nose Diseases; Paranasal Sinuses; Treatment Outcome

Topics: Adult; Female; Foreign Bodies; Humans; Nose; Otolaryngology

Children with psychological disorders are prone to various unintentional injuries, one of the most common of which is foreign body inserting. In spite of the high incidence, the association is not studied yet.. This is a case control study in otorhinolaryngology and psychology departments, at a tertiary referral teaching hospital. One hundred five children (2-12 years old) who were referred for removal of foreign bodies in their ear or nose over a period of one year were selected for the study. Also, 155 children were selected and matched from the same community as the controls. Parents were given the standard strengths and difficulty questionnaire (SDQ) for psychological evaluation of their child. The total score and also the subscales for emotional symptoms, hyperactivity disorders, conduct problems, peer-relationship problemsand prosocialbehaviors were recorded and statistical analysis was performed.. In the case group, 34 cases (%32.4) were suffering from foreign bodies in their ear, 70 cases (%66.7) in their nose, and just one case (%1) in both. Age and sex distributionin the two groups were comparable. There were significant differences of SDQ scores between the two groups in total score (p < 0.001), emotional symptoms (p < 0.001), hyperactivity disorders (p < 0.001), conduct problems (p < 0.001), and prosocial behaviors (p < 0.001). However peer-relationship problems showed no significant difference between the two groups (p = 0.161).. Psychological problems are more common in children with foreign bodies than the controls. Thus physicians are recommended to consider referring these patients to the pediatric psychologist.

Topics: Attention Deficit Disorder with Hyperactivity; Case-Control Studies; Child; Child, Preschool; Conduct Disorder; Ear; Emotions; Female; Foreign Bodies; Humans; Incidence; Interpersonal Relations; Iran; Male; Mental Disorders; Nose; Otolaryngology; Parents; Peer Group; Problem Behavior; Social Behavior; Surveys and Questionnaires

We present an interesting case of a 7-year-old child who developed severe bacterial meningitis requiring admission to paediatric ICU. Initial investigations failed to identify the reason for this otherwise healthy child to develop this life-threatening condition. The child recovered fully with no long-term sequelae. Further on-going unilateral purulent rhinorrhoea lead to ENT referral. CT head from a previous admission showed mucosal thickening and fluid within paranasal sinuses. Reluctance to expose the child to further radiation meant that no formal scan of sinuses was organised and the child was diagnosed with chronic rhinosinusitis. Symptoms failed to improve despite the treatment. A subsequent CT scan of sinuses revealed a radiopaque foreign body in the nasal cavity. This is a rare presentation of a nasal foreign body causing bacterial meningitis. This case highlights the importance of comprehensive investigations to avoid delays in establishing a correct diagnosis and initiating the appropriate treatment.

Topics: Child; Foreign Bodies; Humans; Maxillary Sinus; Meningitis, Pneumococcal; Nose; Rhinitis; Sinusitis; Tomography, X-Ray Computed

Foreign bodies of external nose and forehead are rarely seen.In this case the patient stuck an acupuncture needle into the middle of two sides of the superliliary arch 3 months ago. Patient complains of slight pain in that region because of the infection.The X-ray and 3D CT examination present 4 abnormal high-density shadows in the subscutaneous tissue of external nose and forehead.Foreign bodies in maxillofacial region have the quality of being changeable when the muscles are contracting. The key point to the successful operation is finding the accurate location of the foreign bodies with feasible image examination and designing reasonable incisions.

Topics: Diagnostic Imaging; Forehead; Foreign Bodies; Humans; Image Enhancement; Nose; Tomography, X-Ray Computed; Treatment Outcome

A 9-year-old girl developed a recurrent headaches and had a runny nose with occasional nosebleed for three years. She was diagnosed as sinusitis and the infection of upper respiratory tract, and given the corresponding treatment in local hospital several times before admitted by our hospital. In our department, a suspected metal body was found by nasal endoscopy and confirmed by CT scan. She was extracted foreign body under local anesthesia. The symptoms were relieved a week after the operation.

Topics: Child; Endoscopy; Epistaxis; Female; Foreign Bodies; Humans; Nasal Cavity; Nose; Sinusitis

Topics: Foreign Bodies; Humans; Male; Nasal Obstruction; Nose

Foreign bodies (FBs) in the paranasal sinuses are rare, whether iatrogenic or traumatic. One of the most common causes of such traumatic injuries is gunshot wounds from the bullets. Removing FBs from the paranasal sinuses usually needs endoscopic or open surgery. We present the case of a 22-year-old male soldier who sustained a penetrating injury of his nose and maxillary sinus with an iron rod that was a part of his gun, which was removed without either endoscopic or open paranasal sinus surgery.

Topics: Facial Injuries; Foreign Bodies; Humans; Male; Maxillary Sinus; Military Personnel; Nose; Tomography, X-Ray Computed; Wounds, Penetrating; Young Adult

One of the common emergencies presenting to the emergency department is a child who has inserted a foreign body into their nose. Of the various things that children insert accidently, the most dangerous are button batteries.. We followed up 11 cases of children with history of button battery insertion in the nose for 1 year. We found that all of the patients had developed a septal perforation; other sequelae included nasal adhesions and saddle nose. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Button batteries in the nose are dangerous and can lead to early complications with long-term consequences for the patients. Early diagnosis is required so that they can be removed as soon as possible to prevent the development of complications and long-term sequelae.

Topics: Child; Child, Preschool; Electric Power Supplies; Female; Foreign Bodies; Humans; Infant; Male; Nasal Septum; Nose

The pathogenesis of MSFB development remains unclear, but it has been suggested that poor sinus ventilation is associated with disease development; such a ventilation is influenced by anatomical variation of the paranasal sinuses. Thus, we sought to determine whether sinonasal anatomical variations were associated with MSFB development.. Thirty-one patients with MSFB and 28 gender-matched control patients were included in the present study. The presence or absence of Haller cells and a concha bullosa were scored, and the angle of septal deviation and the minimal and maximal lengths of the infundibulum were measured on preoperative computed tomography images.. In the MSFB group, both a concha bullosa (61.3% vs. 28.6%, p=0.006) and Haller cells (41.9% vs. 30.4%) were present at higher frequencies than in the control group, although the between-group difference in Haller cell occurrence was not statistically significant (p=0.348). In addition, MSFB patients had a significantly lower mean infundibular width (3.23±0.69mm vs. 3.99±1.17mm, p<0.001) and a longer infundibular length (9.71±1.43mm vs. 8.23±1.72mm, p<0.001) than controls.. Sinonasal anatomical variations, especially the presence of a concha bullosa, and/or a narrow and long infundibulum, may play roles in the development of maxillary sinus fungal balls (MSFBs).

Topics: Adult; Aged; Anatomic Variation; Aspergillosis; Female; Foreign Bodies; Humans; Male; Maxillary Sinus; Maxillary Sinusitis; Middle Aged; Nose; Paranasal Sinuses; Retrospective Studies; Tomography, X-Ray Computed; Turbinates

Topics: Adult; Blast Injuries; Foreign Bodies; Humans; Male; Nose; Radiography

We evaluated the role of the emergency department (ED) in the management of ear, nose, and throat foreign bodies in an Australian tertiary care hospital. We retrospectively reviewed all cases of ENT foreign-body presentations in the ED over a 2-year period. We identified 168 such cases, a large proportion of which involved pediatric patients. In addition to demographic factors, we also collected data on the nature of the foreign bodies, the specific sites involved, the rate of successful treatment by the ED staff, the seniority/rank of the treating clinician, and complications. Foreign bodies in the ear accounted for 49% of all cases, the nose for 43%, and the throat for 8%. The ED staff attempted to remove the foreign body in 89% of cases, while the rest were referred to the ENT team. The rate of successful removal of all foreign bodies attempted by the ED team was fairly high-78%; success rates were 86% for nasal foreign bodies, 72% for aural objects, and 67% for those lodged in the throat. No major complications occurred; minor bleeding episodes after removal occurred in 8% of cases. Most ENT foreign-body presentations were managed safely and entirely by the ED team; most of the ENT referrals were to outpatient clinics.

Topics: Adolescent; Adult; Aged; Australia; Child; Child, Preschool; Ear; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Infant; Male; Middle Aged; Nose; Pharynx; Referral and Consultation; Retrospective Studies; Tertiary Care Centers; Young Adult

Foreign body insertion into the ears and nose is common in children and is often witnessed by the carer or reported by the child and therefore appropriate management can be sought promptly. However, these incidents can go unreported and may be accompanied by non-specific symptoms making diagnosis difficult. Button batteries are common in everyday life and their small size and shiny appearance make them appealing to children and their ingestion or insertion is not uncommon. Due to their size, shape and electrochemical composition button batteries pose serious complications if ingested, inhaled or inserted. In the nose they usually cause intense local tissue reactions resulting in severe tissue destruction, septal necrosis or stenosis of the nasal cavity as well as posing the risk of subsequently being ingested or aspirated. This case report details an incidental finding of a button battery in the floor of the nose discovered on routine orthodontic radiographs. An upper standard occlusal and dental panoramic tomography showed a radiopaque, cylindrical, object in the floor of the nose which a subsequent CBCT localized to the floor of the right nasal fossa. The patient required orthodontic extractions and the exposure and bonding of teeth under general anaesthetic. Therefore the battery was removed by the maxillofacial surgery team at the same general anaesthetic. This is a rare case of an incidental finding of a long-standing button battery impaction which was asymptomatic and did not have any detrimental effects. This case highlights the dangers of button battery impaction and the need for prompt referral for removal.

Topics: Adolescent; Electric Power Supplies; Foreign Bodies; Humans; Incidental Findings; Male; Nasal Cavity; Nose; Orthodontics; Physical Examination

Management of penetrating trauma to the paranasal sinuses with retained foreign bodies represents a challenge due to the proximity to vital neurovascular structures. The authors report the successful treatment of a patient with a work-related nail gun injury, carried out by means of a combined endoscopic endonasal external assisted procedure.A transnasal endoscopic approach was planned to minimize inadvertent movements of the nail during surgery and in case necessary to repair the orbit or skull base. No major bleeding or neurovascular complication was observed after surgery and a computed tomography scan was performed after surgery confirming the complete removal of the nail and with no damage of the orbit nor the skull base.

Topics: Adult; Foreign Bodies; Humans; Male; Nails; Natural Orifice Endoscopic Surgery; Nose; Paranasal Sinuses; Tomography, X-Ray Computed; Wounds, Penetrating

Ear, nose and throat foreign bodies (FBs) are common occurrences particularly among children. This study reviewed the clinical spectrum of ENT FBs, their treatment and outcomes as seen in a tertiary health center in North Western Nigeria.. The study was a retrospective chart review of patients that were managed for FB impaction in a tertiary health institution in North Western Nigeria over a four year period.. There were 239 patients; M: F: 1.2:1. Majority of FB impaction (46.4%) occurred in children. Majority (68.7%) were otic and FBs. 18.0% of the patients had had failed attempted removal by non ENT specialists. About 25% of these patients developed complications. Majority (62.0%) of these complications occurred in the hand of non-ENT medical personnel.. Ear, nose and throat foreign bodies are common in North-Western Nigeria with the highest incidence in children. Removal attempts by untrained health professionals and lack of experience in FB management predisposes to complications. Parental education on close monitoring of their children to avoid such incidences and the need to immediately seek an Otorhinolaryngologist to prevent complications are emphasized.

Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Ear; Female; Foreign Bodies; Humans; Incidence; Infant; Male; Middle Aged; Nigeria; Nose; Pharynx; Retrospective Studies; Tertiary Care Centers; Young Adult

Topics: Ear, External; Foreign Bodies; Humans; Nose

Topics: Ear, External; Foreign Bodies; Humans; Nose

To examine rates of otolaryngology intervention in children presenting to our emergency department with nasal foreign bodies, factors associated with otolaryngology involvement, rates of complications, and details on nasal button battery exposure.. All patients presenting with a nasal foreign body to Children's Hospital Colorado from 2007 to 2012 were identified. Factors leading to referral to otolaryngology and operative intervention were examined, as well as complications.. 102 patients were included. 36 (35%) patients were referred to the otolaryngology clinic, of which 58.9% required operating room intervention. 66 (64.7%) children had their nasal foreign bodies removed in the emergency room, however 30 (45%) of these were removed by an otolaryngology resident or attending physician. Overall, 64.7% of nasal foreign bodies required removal by otolaryngology. Of the 15 objects removed in the operating room, six were button batteries. No septal perforations occurred as a result of nasal button battery exposure. Multivariable logistic regression showed two significant predictors of OR removal: age and disc shaped objects.. While emergency department providers are comfortable attempting removal of nasal foreign bodies, there was a high rate of otolaryngology intervention. Based on this data, there is a need to educate emergency room providers on nasal anatomy and techniques for nasal foreign body removal.

Topics: Adolescent; Ambulatory Care Facilities; Child; Child, Preschool; Colorado; Disease Management; Electric Power Supplies; Emergency Service, Hospital; Female; Foreign Bodies; Hospitals, Pediatric; Humans; Infant; Male; Nose; Otolaryngology; Referral and Consultation; Tertiary Care Centers

There has been a surge in the popularity of loom bands amongst children in recent months. These small rubber bands, which can be woven together to make colourful bracelets and necklaces, have become the world's most popular toy. Foreign bodies in paediatric nasal and aural cavities are a common presentation to ENT units across the country. Whilst most are removed without incident, foreign bodies in nasal passages represent a potential risk for inhalation, leading to airway obstruction.. This paper reports a case series of four paediatric patients who presented with a loom band associated foreign body in the nose over a 7-day period at a district general hospital in Scotland.. Although the four cases presented were resolved without the need for general anaesthetic, the ever-soaring prevalence and popularity of loom bands necessitates a degree of caution and vigilance from parents, retailers and manufacturers alike. We believe there is an urgent need for greater public awareness of their potential hazards.

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Inhalation; Jewelry; Male; Nasal Obstruction; Nose; Play and Playthings; Scotland

It is generally accepted that paediatric intranasal foreign bodies should be removed in the emergency setting. In the case of a difficult to access dissolvable foreign body in an uncooperative child, the question must be raised regarding whether or not a watch and wait strategy is more appropriate. We ask: How long does it take for popular sweets (candy) to dissolve in the human nose?. Five popular UK sweets were placed in the right nasal cavity of a 29-year-old male (the author) with no sino-nasal disease. Time taken to dissolve was recorded.. All five sweets were completely dissolved in under one hour.. A watch and wait strategy in favour of examination under anaesthetic may be a viable option in some cases. Limitations of the study include the age of the participant and size of the sweets. It is also important in practice that the clinician is able to elicit an accurate history regarding the exact nature of the foreign body.. It remains prudent to perform an examination under anaesthetic of an uncooperative child with a solid or unknown nasal foreign body. However, if the clinician can be certain the foreign body is a small sugar or chocolate based sweet only, a watch and wait strategy may be a reasonable choice.

Topics: Adult; Autoexperimentation; Candy; Chemical Phenomena; Child; Foreign Bodies; Humans; Male; Nose; Time Factors; United Kingdom

The aim of this study was to determine the common presentations and management outcomes in case of nasal foreign body.. A retrospective study was carried out over 5 years, from January 2008 to December 2012. The total number of patients was 43; maximum age was 9 years. Patient biodata, clinical presentation, type of foreign body and management outcome were obtained and analyzed from the medical records of the Universiti Sains Malaysia Hospital.. Of the total 43 patients, 60.5% were male and 39.5% female. The most frequent age at which nasal foreign bodies were found was 3 years (48.83%) and the least frequent age bracket was 7-9 years (2.33%). Most patients had foul smelling nasal discharge (34.88%) or were asymptomatic (34.88%); the least common presentation was nasal discomfort (2.33%). Seeds (23.26%) were the most common foreign body, followed by rubber and batteries (16.28%). In most cases (58.14%), the foreign body had been inserted into the right nostril; 39.53% were inserted into the left nostril, and 2.33% were bilateral. Foreign bodies were removed under general and local anesthesia in 53.49% and 41.86% of cases respectively; 4.65% were dislodged spontaneously.. Nasal foreign bodies are encountered daily in our routine clinical practice in the pediatric age group. General anesthesia is required in uncooperative agitated patients to avoid complications.

Topics: Asymptomatic Diseases; Child; Child, Preschool; Female; Foreign Bodies; Humans; Malaysia; Male; Nose; Odorants; Retrospective Studies

Topics: Child; Conscious Sedation; Ear; Foreign Bodies; Humans; Nose; Pharynx

(1) To analyze the outcomes of patients with esophageal foreign body managed by transnasal esophagoscopy. (2) To review the value of lateral neck X-ray.. Case series with chart review.. Tertiary referral center, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.. Lateral neck X-ray was used for initial screening in patients suspected of having an esophageal foreign body between 2007 and 2013. Rigid esophagoscopy was used as standard for further investigations before July 2010 and transnasal esophagoscopy after July 2010.. From January 2007 to June 2010, 43 patients who were suspected of having an esophageal foreign body under lateral neck X-ray received rigid esophagoscopy, 31 of whom were found to have an esophageal foreign body. From July 2010 to December 2013, 302 patients underwent transnasal esophagoscopy, and an esophageal foreign body was noted in only 52 of these patients. In the 302 patients who underwent transnasal esophagoscopy, the sensitivity and specificity of having an esophageal foreign body by lateral neck X-ray were 59% and 83%, respectively.. The introduction of transnasal esophagoscopy has changed the diagnosis and management for an esophageal foreign body. Transnasal esophagoscopy is a quick and safe procedure that can be performed under local anesthesia. Transnasal esophagoscopy could replace lateral neck X-ray to become the initial screening procedure and a useful treatment for patients with an esophageal foreign body.

Topics: Adolescent; Adult; Aged; Esophagoscopy; Esophagus; Female; Foreign Bodies; Humans; Male; Middle Aged; Neck; Nose; Radiography

This study aims to investigate clinical manifestations and treatment protocols in patients with a diagnosis of nasal foreign bodies.. We retrospectively evaluated 130 patients (72 males, 58 females; mean age 3.65±2.31 years; range 15 month to 72 years) who were diagnosed with nasal foreign bodies and received treatment between November 2008 and July 2013. Age and sex of the patients, type of foreign body, side of presentation, signs and symptoms, management practices, and outcomes were recorded.. Most of the patients were children between the ages of 2 and 5 (n=113, 86.9%). The most common foreign bodies were small plastic toys (43.8%), nut, walnut, corn, bean and the other seed grains (29.2%). Foreign bodies were detected in the right nasal passage in 74 patients (56.9%), left nasal passage in 54 patients (41.6%) and both nostrils in two patients (1.5%). Of the patients, 92.3% were admitted to our clinic within 24 hours.. Nasal foreign bodies are frequent encountered in the emergency setting of ear, nose, and throat diseases. Although they are not life-threatening conditions, they require urgent intervention, as they may lead to several complications in the long-term. Parents and caregivers of children should keep objects which can be put into the nose away and be instructed that they should consult a physician in case of nasal foreign bodies.

Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Diagnosis, Differential; Endoscopy; Female; Foreign Bodies; Humans; Infant; Male; Middle Aged; Nose; Otorhinolaryngologic Surgical Procedures; Retrospective Studies; Young Adult

In parallel with technological developments, small size but strong magnets are commonly used in modern devices. In terms of foreign body injuries, magnet injuries are quite rare. However, due to their unique characteristics, there are some difficulties in their management. The magnetic field generated by the magnet affects the surgical instruments and make treatment difficult. In this case report, a nasal injury due to neodymium magnet and our alternative approach for its management was reported.

Topics: Diagnosis, Differential; Foreign Bodies; Humans; Magnets; Male; Middle Aged; Neodymium; Nose; Radiography; Skull Fractures

Intrusive luxation, also called central dislocation, is often the result of an axial impact in the apical direction, moving the tooth within the alveolar bone. This is possibly one of the most traumatic injuries, since the displacement of a tooth within its socket implies extensive and acute involvement of the periodontal ligament, bone damage and rupture of the neurovascular bundle. The close relationship between the apexes of the primary teeth and the developing permanent successor in turn can lead to multiple complications, which are greater when the permanent tooth is affected in the early stages of development.. The present paper describes a case of intrusion in primary teeth and its evolution following initial diagnosis as avulsion at the time of trauma.. The upper right central incisor, initially diagnosed as avulsed, was lodged in the floor of the right nostril, and was surgically extracted through the nose.. In cases of intrusion of primary teeth, it is essential to diagnose the direction of the displaced tooth to rule out injury to the successor and thus prevent the occurrence of sequelae in the permanent dentition.

Topics: Child, Preschool; Follow-Up Studies; Foreign Bodies; Humans; Incisor; Lip; Male; Nose; Radiography; Tooth Avulsion; Tooth, Deciduous

To evaluate 1875 cases of nasal foreign body (NFB) removal with regard to type of foreign body (FB), location, complications, techniques for removal, age and gender, and to present the results of the evaluation.. Between 2006 and 2013, a total of 1875 NFBs were removed from 1870 children in ENT Services of Antalya Ataturk State Hospital and Izmir Tepecik Training - Research Hospital. A retrospective review was undertaken to evaluate the parameters related to the NFBs and their removal and the data were analyzed.. The most frequent NFBs were hard spherical objects and the most common locations to lodge were on the right side just anterior to the middle turbinate. Prolonged exposure increases the complication rate, and button batteries are particularly ominous as they drift into the airway, never observed. We found a higher incidence in patients between ages 2 and 5 years. The distribution of NFBs was 52.9% in boys and 47.1% in girls.. NFBs are most commonly hard, round objects. Button batteries and penetrating FBs must be treated immediately. Complications from NFBs are rare but may be potentially serious or even life threatening.

Topics: Child; Child, Preschool; Female; Foreign Bodies; Humans; Incidence; Infant; Male; Nose; Retrospective Studies; Turkey; Wounds and Injuries

Insertion of a foreign body in the nasal cavity is a very common incident in children. It is easily diagnosed, but the type of foreign body varies and extraction can sometimes be difficult, with risk of complications. The present study reports nasal foreign bodies seen in emergency in our ENT department, with an update on the state of knowledge.. A prospective study between May and August 2011 included all patients admitted to the ENT emergency unit for nasal foreign body. Data comprised age, gender, circumstances of discovery, symptoms, type of foreign body, extraction method and complications.. Two hundred and sixty cases of nasal foreign body were included, representing 4.3% of all consultations in the unit. Mean age was 3 years (range: 1-16 years); the sex ratio was 1.4 (male predominance). The incident was reported by a family member or the actual child in 76.9% of cases (n=199), or discovered following nasal symptoms in 23.1% (n=61). The main types of foreign body were non-organic synthetic beads in 18.8% of cases and vegetable forms in 17.7%. Extraction was easy, using forceps, micro-hooks or suction, in 91.53% of cases. Complications comprised infection (n=48), epistaxis (n=18) and nasal septum perforation (n=1).. Nasal foreign bodies are a frequent accident in medical practice, especially in young children. They are generally harmless, but may incur complications if overlooked or when a button cell is involved, whence the importance of timely extraction. The best treatment, however, remains prevention.

Topics: Adolescent; Child; Child, Preschool; Emergency Treatment; Female; Foreign Bodies; Humans; Infant; Male; Nose; Prospective Studies

Topics: Catheters; Child; Foreign Bodies; Humans; Nose; Urinary Catheterization

The ingestion of foreign body is a common problem in children, some of which may cause damage or may be associated with toxicity.. To evaluate and analyze the pattern of foreign bodies in children in the esophagus, ears and nose with review of the techniques for removal in the emergency department.. From Sept 1, 2008 to May 30, 2010, a review of all children with foreign bodies in the esophagus, ears and in the nose was done to assess the patterns and treatment outcomes. The source and the study group were (N-72). Data concerning socio- demographics, characterization, presenting symptoms and signs, techniques of retrieval and outcomes were extracted and filled in a previously prepared protocol sheet. Descriptive analysis was done using SPSS- computer statistical software.. During the study period, 72 children, victims of foreign bodies in the esophagus, ears and in the nose were included in the study. Of these 44 (61.1%), 28 (38.9%) were male and female children, respectively. The age ranged from 11 months to 14 years with (mean = 4 years). The most affected age group was between 0-5 years accounting for 46 (63.9%) followed by the age group between 6-10 years accounting for 20 (27.8%) of all cases. Males 44 (61.1%) were predominantly most affected than females 28 (38.8%). The location of foreign bodies in this study were in the ears 45 (62.5%), esophagus 17 (23.6%) and in the nose 10 (13.9%) in order of their frequency. Swallowed foreign bodies were successfully removed by Magill forceps. Foreign bodies in the ears and in the nose were removed by careful but different techniques depending on the type and the clinical condition of the patient at time of intervention.. Our study revealed a higher number of patients with foreign bodies in the ears and in the esophagus. Only a small number ofpatients presented with FBS in the nose. Food items in the ears, in the nose and coins in the esophagus were items frequently observed. Early suspicion, early diagnosis and prompt intervention have attributed to reduce morbidities of major events.

Topics: Adolescent; Age Distribution; Child; Child, Preschool; Ear; Emergency Service, Hospital; Esophagus; Ethiopia; Female; Foreign Bodies; Humans; Infant; Male; Nose; Retrospective Studies; Sex Distribution

We present a 21-month-old child with a foreign body (an intranasal almond) measuring fat attenuation on CT. To the best of our knowledge, this appearance has not been previously described and can be confused with other diagnoses resulting in inappropriate or delayed treatment.

Topics: Adipose Tissue; Diagnosis, Differential; Female; Foreign Bodies; Humans; Infant; Nose; Prunus; Soft Tissue Injuries; Tomography, X-Ray Computed

To compare characteristics of nasal discharge caused by different intranasal aetiologies in dogs.. Medical records of 105 dogs with nasal discharge due to intranasal disease were retrospectively reviewed with special focus on composition, severity, duration and localisation of discharge. On the basis of diagnostic findings, cases were classified into different disease groups and characteristics of discharge were compared between groups.. Cases were classified as having non-specific rhinitis (n=42), nasal neoplasia (n=23), foreign bodies (n=21), nasal mycosis (n=7) and miscellaneous disorders (n=13). Dogs with foreign bodies or nasal mycosis were significantly younger. Mucous components of discharge occurred more often in non-specific rhinitis and nasal neoplasia, although haemorrhagic components predominated in nasal neoplasia when discharge lasted ê14 days. Pure or mixed haemorrhagic discharge was significantly more common with nasal neoplasia, foreign bodies and nasal mycosis. Purulent components were associated with longer duration of discharge and predominantly seen in non-specific rhinitis and foreign bodies. Dogs with foreign bodies were presented earlier and sneezing was more frequent. Nasal stridor was significantly more often observed in dogs with nasal neoplasia.. Characteristics of nasal discharge and associated clinical signs might aid in planning the diagnostic approach, but a combination of diagnostic techniques is still required to confirm a diagnosis.

Topics: Animals; Bodily Secretions; Dog Diseases; Dogs; Female; Foreign Bodies; Male; Mycoses; Nose; Nose Diseases; Nose Neoplasms; Retrospective Studies; Rhinitis

Nasal foreign bodies (FBs) are common causes of pediatric emergency consultations. The different methods for removing nasal FBs have varying levels of efficacy. The aim of this study was to evaluate the safety and efficacy of a new device for nasal FB removal in children.. A nasal occlusion device that uses modulated positive pressure to remove FBs was evaluated in a series of 18 patients ranging in age from 1 to 8 years diagnosed with a nasal FB during a period of 7 months.. The device successfully removed FBs in 17 (94.4%) of the 18 patients. In 12 of the cases (66.7%), the FB was removed during the first attempt. None of the patients had complications or sequelae at the time of removal or at the follow-up visit.. The nasal occlusion device used in this study was found to be a promising, safe, effective, and easy to use tool for FB removal in a pediatric emergency room setting.

Topics: Child; Child, Preschool; Enteral Nutrition; Foreign Bodies; Humans; Infant; Nose; Pressure; Time-to-Treatment

We report the first case of a transnasal penetrating intracranial injury in Hong Kong by a chopstick. A 49-year-old man attempted suicide by inserting a wooden chopstick into his left nose and then pulled it out. The chopstick caused a transnasal penetrating brain injury, confirmed by contrast magnetic resonance imaging of the brain. He was managed conservatively. Later he developed meningitis without a brain abscess and was prescribed antibiotics for 6 weeks. He enjoyed a good neurological recovery. This case illustrates that clinician should have a high index of suspicion for penetrating intracranial injury due to a nasally inserted foreign body, even though it had already been removed. In such cases moreover, brain magnetic resonance imaging is the imaging modality of choice, as it can delineate the path of penetration far better than plain computed tomography.

Topics: Brain Abscess; Brain Injuries; Cooking and Eating Utensils; Foreign Bodies; Humans; Magnetic Resonance Imaging; Male; Meningitis; Middle Aged; Nose; Wounds, Penetrating

Topics: Ear; Esophagus; Foreign Bodies; Humans; Nose; Oropharynx; Respiratory System

There is a well-described increase in the incidence of significant injury associated with button batteries in children. Button battery ingestion or insertion (ear/nose) is a time-sensitive injury mechanism, with severe injury occurring within hours. Prevention efforts are being developed that may include changes to packaging, public awareness campaigns, safe disposal mechanisms, changes to battery design and changes to device design. However, there is not a single, simple and effective prevention strategy available. This community hazard has significant implications for primary care. This article presents the clinical characteristics and epidemiology of button battery exposure and subsequent injury. It also describes the clinical recommendations, specifically an emphasis on early diagnosis, including maintaining a high index of suspicion; rapid removal where possible or urgent referral for operative intervention.

Topics: Burns, Chemical; Deglutition; Diagnosis, Differential; Electric Power Supplies; Esophagus; Foreign Bodies; Humans; Infant; Male; Nose; Primary Health Care; Radiography; Wounds and Injuries

Sphenoidal sinus foreign bodies are very rare entities that are often associated with a cranial and/or orbital trauma. In this paper, a case of a metallic foreign body that pierced the sphenoid sinus and penetrated into the intracranial space due to a work accident is presented. A 29-year-old male was referred to our clinic due to a right orbital penetrating trauma. Skull X-ray and computed tomography (CT) scans demonstrated a foreign body inside the sphenoidal sinus, extending to the left temporal fossa. The foreign body was removed using an endoscopic endonasal technique, and the skull base was reconstructed with a multilayer closure technique. There were no complications during or after the operation. Postoperative result was perfect after three months of follow up.

Topics: Adult; Diagnosis, Differential; Endoscopy; Foreign Bodies; Humans; Male; Nose; Occupational Injuries; Sphenoid Sinus; Tomography, X-Ray Computed

Foreign body (FB) in the nose is a frequent situation seen generally among children. A variety of objects left in different sites of the nose has been reported in the literature. Insertion of a FB to the nose is generally via the anterior nares. In this report, an unusual entry site for a nasal FB in a neglected trauma patient is presented. FB should be suspected and investigated in children after penetrating facial injury.

Topics: Child; Female; Foreign Bodies; Humans; Nose; Radiography; Wounds, Penetrating

Ear, nose and throat (ENT) foreign body (FB) injuries represent an emerging problem in the paediatric population because of their human and social costs. The aim of the study is the site-specific evaluation of FB injuries in the paediatric population referred to the emergency department of the Pediatric Hospital of Turin.. This retrospective analysis was carried out sifting medical reports between 2002 and 2011. We collected information about 338 patients' FB characteristics, complications and hospitalisation.. The mean age was 4.2 ± 2.9 years. Nose and ear are the most involved anatomical sites, followed by pharynx, oesophagus and trachea-bronchi. The most common FBs are balls, beads and toys parts (29.6%), followed by fishbones (13.6%). A lower mean age is observed in tracheo-bronchial and oesophageal FBs. The 9.2% of cases reported complications.. A quick and proper diagnosis followed by an effective treatment of FB injuries and their complication is mandatory. Surveillance registries have a key role in prevention and management of FB injuries; useful information can be obtained also for nurse and ENT specialist training in order to create professionals ready to recognise and manage FB injuries in the most effective way.

Topics: Bronchi; Child; Child, Preschool; Emergency Service, Hospital; Esophagus; Female; Foreign Bodies; Hospitalization; Hospitals, Pediatric; Humans; Italy; Male; Nose; Pharynx; Prevalence; Retrospective Studies; Trachea; Treatment Outcome

Disc batteries as foreign bodies present challenges in both diagnosis and management and carry a high risk for complications. We describe a novel device for disc battery removal using a magnet and basic medical supplies readily available in the emergency department setting. We also review diagnosis, complications, and management recommendations for disc batteries as foreign bodies.

Topics: Child, Preschool; Electric Power Supplies; Female; Foreign Bodies; Humans; Magnets; Nose

The purpose of this study was to calculate nationwide incidence of emergency department (ED) visits for nasal foreign bodies, identify the most frequently encountered consumer products, and evaluate outcomes and demographic trends.. The Nationwide Electronic Injury Surveillance System (NEISS) was evaluated for ED visits related to nasal foreign bodies for the most recent 5-year span available. Nationwide incidence was calculated, and the most frequent foreign bodies were identified and organized by demographics including age and gender.. A total of 6418 entries extrapolated to an estimated 198,566 ED visits nationwide were found. Out of individual case entries evaluated, median patient age was 3 years, and 42.7% of patients were male. Ninety-six percent (96.4%) of patients were released after examination/treatment. Jewelry beads comprised a plurality of nasal foreign bodies, followed by paper products and toys. Patients with nasal foreign bodies involving toys, building sets, pens/pencils, batteries, coins, and nails/screws were predominantly male, whereas patients with nasal foreign bodies involving jewelry, paper products, and buttons were predominantly female. Jewelry was the most common item for patients in most age groups; age-specific differences in the composition of remaining nasal foreign bodies were noted.. A variety of consumer products carry inherent risks for becoming nasal foreign bodies, with nearly 200,000 ED visits over a 5-year period. Jewelry beads, paper products, and toys were the most common products noted. Speedy recognition and retrieval of these items and other objects noted is imperative for avoidance of deleterious sequelae. Demographic-specific trends noted and organized by age and gender may be an invaluable adjunct for patient history-taking and clinical examination.

Topics: Adolescent; Adult; Age Distribution; Aged; Child; Child, Preschool; Emergency Service, Hospital; Emergency Treatment; Female; Foreign Bodies; Hospitalization; Humans; Incidence; Infant; Infant, Newborn; Male; Middle Aged; Nose; Patient Acceptance of Health Care; Sex Distribution; United States; Young Adult

To explore the feasibility and methods of transnasal endoscope for removing foreign bodies at orbital-skull base.. Retrospective analyses were performed for 8 cases of foreign body injuries at orbital-skull base at our department from January 2009 to January 2014. The foreign bodies were metallic (n = 4) and wooden (n = 4). Six cases were only within orbit while the remainder had nasal-orbital foreign bodies. The symptoms included preoperative visual loss (n = 6), visual deterioration (n = 2) and eye movement disorder (n = 5). All underwent transnasal endoscopic removal.. Foreign bodies were totally removed. During a follow-up period of 3 months to 4 years, there was no recovery of preoperative visual loss (n = 6). Two patients with reduced vision recovered to normal after 3 months. Eye movement disorder fully recovered in 4 cases and 1 case of eye movement disorder had partial recovery.. Endoscopic removal of foreign body at orbital-skull base has the advantage of mini-invasiveness and non-facial surgical scar.

Topics: Cicatrix; Foreign Bodies; Humans; Neuroendoscopy; Nose; Retrospective Studies; Skull Base; Vision, Low

This paper reports the results of analysis of the treatment of 8 children after the removal a disk battery from the nasal cavity. It was shown that the restoration of all the structures of the nasal cavity is possible if the foreign body remains in it during a short (up to 5 hours) time. The longer presence of such a body in the nasal cavity gives rise to post-traumatic defects, in the first place septal perforations and injuries to the inferior turbinated bone. In such cases, the foreign body must be immediately removed from the nasal cavity, and the child should be placed under thorough medical observation taking into consideration the long process of rejection of necrotic tissues and healing of the resulting defects.. В работе анализируются результаты лечения 8 детей после удаления дисковой батарейки из полости носа. Отмечено, что при относительно коротком периоде пребывания инородного тела (до 5 ч) возможно восстановление всех структур полости носа, при более длительном возникают посттравматические дефекты, в первую очередь перфорации перегородки носа и дефекты нижней носовой раковины. Ребенок нуждается в немедленном удалении батарейки из полости носа с последующим тщательным врачебным контролем в связи с длительным течением процессов отторжения некротизированных тканей и заживления.

Topics: Child, Preschool; Electric Power Supplies; Female; Foreign Bodies; Humans; Male; Nose

Topics: Foreign Bodies; Humans; Nose; Surgical Instruments

We reported a case of a work-related accident involving periorbital and intraorbital metal foreign bodies. The patient was a 43-year-old woman whose nasal dorsum was struck while she was sawing wood with nails. X-ray plain films of skull bone and computed tomographic scan of nasal sinus revealed two 5-mm-long metal objects lodged in right lacrimal sac and medial bulbar space of the right orbit. No deficits were noted in her visual acuities, visual fields, and ocular movements. Based on accurate positioning by imaging examination, transnasal endoscopic removal of metal foreign bodies was successfully accomplished. The patient recovered well without any complications after surgery.

Topics: Adult; Endoscopy; Female; Foreign Bodies; Humans; Nasolacrimal Duct; Nose; Orbit; Paranasal Sinuses; Skull

To investigate the injury of button battery to nose and discuss its management.. Thirteen cases with button battery in nose were reviewed. After the removal of button battery, nasal cavity irrigations were carried out carefully by nasal endoscopy in all cases. Gelfoam full of erythromycin eye ointment was used to cover the injured mucous membrane.. Among all the cases, 10 got full recovery without any complication. There are 2 cases of synechia nasal and 1 case of septum perforation.. Removal as soon as possible, careful cleaning and systemic drug are necessary. Nose bleed, septum perforation, adhesion and rhinostenosis should be noticed.

Topics: Child; Child, Preschool; Electric Power Supplies; Female; Foreign Bodies; Humans; Male; Nose; Treatment Outcome

To investigate whether the prevalence of attention-deficit/hyperactivity disorder (ADHD) is higher in children presenting with nasal and aural foreign bodies than in the control group.. The present study was conducted between April 2012 and December 2012 and included 60 pediatric patients presenting with self-inserted nasal and aural foreign bodies and 50 healthy controls aged between 3 and 9 years. The Conner Parent Rating Scale (CPRS) and Turgay's DSM-IV based ADHD and disruptive behavior disorders screening scale (T-DSM-IV-Scale) were used to investigate ADHD.. The difference between the patient group and the control group was significant with respect to the abnormal scores obtained from all the subscales (p < 0.05). In children between 5 and 9 years of age, the abnormal scores were significantly higher in the patients than the controls for all the subscales (p < 0.05). However, in children between 3 and 4 years of age, there were no significant differences between the patients and the controls for the scores obtained from all the subscales (p > 0.05). No statistically significant difference was found between the patients with a previous history of self-inserted foreign bodies and those without any history of foreign body insertion (p > 0.05).. The findings of our study demonstrated a possible association between the self-insertion of nasal and aural foreign bodies and ADHD. Clinicians should be aware of the possible presence of ADHD in children, especially in those patients between 5 and 9 years of age who present with self-inserted nasal and aural foreign bodies.

Topics: Age Factors; Attention Deficit Disorder with Hyperactivity; Case-Control Studies; Child; Child, Preschool; Ear; Female; Foreign Bodies; Humans; Male; Nose; Prevalence; Risk-Taking; Self-Injurious Behavior

Topics: Australia; Child, Preschool; Female; Foreign Bodies; Humans; Incidence; Male; Mothers; Nose; Practice Guidelines as Topic; Suction

Upper aerodigestive tract may harbour foreign bodies such as sponges, grains, toy parts, stones, paper, insects, cotton, etc. These objects may go undetected for days or even weeks. A metallic foreign body after being inhaled and ultimately being lodged in the nasopharynx is a rare entity. We report a case of an unusual nasopharyngeal foreign body (metallic bolt) presenting with symptoms of nasal regurgitation and change in voice in a 2-year boy. The foreign body was diagnosed by X-ray skull lateral view including nasopharynx and was removed under general anaesthesia.

Topics: Child, Preschool; Foreign Bodies; Humans; Male; Nasopharynx; Nose; Voice Disorders

We describe magnetic foreign body injuries among children and obtain national estimates of magnetic foreign body injury incidence over time.. We searched the National Electronic Injury Surveillance System for cases of magnetic foreign bodies in children younger than 21 years in the United States, from 2002 to 2011. Cases were analyzed by location: alimentary or respiratory tract, nasal cavity, ear canal, or genital area.. We identified 893 cases of magnetic foreign bodies, corresponding to 22,581 magnetic foreign body cases during a 10-year period (95% confidence interval [CI] 17,694 to 27,469). Most magnetic foreign bodies were ingested (74%) or intranasal (21%). Mean age was 5.2 years for ingested magnetic foreign bodies and 10.1 years for nasal magnetic foreign bodies (difference 4.9; 95% CI 4.1 to 5.6), suggesting different circumstances of injury. The incidence of pediatric magnet ingestions increased from 2002 to 2003 from 0.57 cases per 100,000 children per year (95% CI 0.22 to 0.92) to a peak in 2010 to 2011 of 3.06 cases per 100,000 children per year (95% CI 2.16 to 3.96). Most ingested magnetic foreign bodies (73%) and multiple magnet ingestions (91%) occurred in 2007 or later. Patients were admitted in 15.7% of multiple magnet ingestions versus 2.3% of single magnet ingestions (difference 13.4%; 95% CI 2.8% to 24.0%).. Magnet-related injuries are an increasing public health problem for young children, as well for older children who may use magnets for play or to imitate piercings. Education and improved magnet safety standards may decrease the risk small magnets pose to children.

Topics: Child; Child, Preschool; Digestive System; Ear Canal; Emergency Service, Hospital; Female; Foreign Bodies; Genitalia; Humans; Incidence; Magnets; Male; Nose; Respiratory System; Retrospective Studies; United States

The demand and usage of button batteries have risen. They are frequently inadvertently placed by children in their ears or noses and occasionally are swallowed and lodged along the upper aerodigestive tract. The purpose of this work is to study the different presentations of button battery foreign bodies and present our experience in the diagnosis and management of this hazardous problem in children.. This study included 13 patients. The diagnostic protocol was comprised of a thorough history, head and neck physical examination, and appropriate radiographic evaluation. The button batteries were emergently extracted under general anesthesia.. The average follow-up period was 4.3 months. Five patients had a nasal button battery. Four patients had an esophageal button battery. Three patients had a button battery in the stomach. One patient had a button battery impacted in the left external ear canal. Apart from a nasal septal perforation and a tympanic membrane perforation, no major complications were detected.. Early detection is the key in the management of button battery foreign bodies. They have a distinctive appearance on radiography, and its prompt removal is mandatory, especially for batteries lodged in the esophagus. Physicians must recognize the hazardous potential and serious implications of such an accident. There is a need for more public education about this serious problem.

Topics: Child, Preschool; Ear; Electric Power Supplies; Female; Foreign Bodies; Humans; Male; Nose; Radiography

The ingestion of multiple magnets simultaneously or the placement of magnets in both nares can lead to serious injury resulting from the attraction of the magnets across the tissues. The impact of mandatory standards for toys containing magnets has not been thoroughly investigated. The aim of the present study was to describe the emergency department (ED) visit rate for magnet-related injuries.. We performed a retrospective study of children evaluated for magnet-related injuries from 1995 to 2012 in an urban tertiary care pediatric ED. We identified cases using a computerized text-search methodology followed by manual chart review. We included children evaluated for magnet ingestion or impaction in the ears, nose, vagina, or rectum. We assessed the type and number of magnets as well as management and required interventions. A Poisson regression model was used to analyze rates of injury over time.. We identified 112 cases of magnet injuries. The median patient age was 6 years (IQR 3.5, 10), and 54% were male. Compared to before 2006, the rate for all magnet-related injuries in 2007-2012 (incidence rate ratio 3.44; 95% confidence interval 2.3-5.11) as well as multiple magnet-related injuries (incidence rate ratio 7.54; 95% confidence interval 3.51-16.19) increased. Swallowed magnets accounted for 86% of the injuries. Thirteen patients had endoscopy performed for magnet removal (12%), and 4 (4%) had a surgical intervention. Magnets from toys account for the majority of the injuries.. The number of ED visits for magnet-related injuries in children may be rising and are underreported, with an increase in the proportion of multiple magnets involvement. In our case series, mandatory standard for toys had no mitigating effect.

Topics: Boston; Child; Child Behavior; Child, Preschool; Deglutition; Ear; Emergency Service, Hospital; Endoscopy, Gastrointestinal; Female; Foreign Bodies; Gastrointestinal Tract; Hospitals, Pediatric; Hospitals, Urban; Humans; Incidence; Magnets; Male; Nose; Play and Playthings; Retrospective Studies; Vagina

Topics: Aged; Calculi; Diagnosis, Differential; Endoscopy; Foreign Bodies; Humans; Incidental Findings; Male; Nose; Tomography, X-Ray Computed; Turbinates

Topics: Accidents, Occupational; Adult; Foreign Bodies; Humans; Male; Middle Aged; Nose; Wounds, Penetrating

The patient was male, 20 years old, and complained of pain, bleeding and decreased vision after the right eye was injured by nail for an hour.. right exophthalmos, conjunctival edema, skin laceration at the lower eyelid of right eye, limitation of eye movement, asymmetric eyes and weak light-reflecting. X-ray showed: metallic foreign body shadow in the right orbit, 0.5 cm x 0.4 cm approximately. Orbit and paranasal sinus CT showed: 1 hematoma of the right eye and inside. 2 high density foreign body embedded in the bone wall of the inside of right orbit and ethmoid. 3 medial wall fracture of right eye orbit. 4 bilateral maxillary sinus and right ethmoidal sinus effusion. 5 slightly left side of nasal septum. The patient was initially diagnosed as foreign body in right ethmoidal sinus, skin laceration of right lower eyelid, retrobulbar hematoma.

Topics: Endoscopes; Ethmoid Sinus; Foreign Bodies; Humans; Male; Nose; Orbit; Young Adult

Nasal foreign bodies (NFBs) are a common occurrence, particularly in children between 2 and 4 years old. Many techniques have been developed to remove NFBs, though intranasal batteries, in particular, possess characteristics such as round shape, smooth surface, and limited visibility that make attempts at removal significantly more difficult. In the context of intranasal batteries, a considerable local soft tissue reaction and potential necrosis may exist to further complicate removal.. To present a technique for removal of difficult intranasal foreign bodies that may be utilized by health care practitioners, particularly in the Emergency Department setting.. We present a case of a 4-year-old child presenting with intranasal battery with mucosal necrosis. After conventional techniques failed, we utilized a novel wire snare technique to dissect the NFB free from the nasal mucosa safely and in an atraumatic fashion.. This technique is noted to be a rapid, atraumatic, and effective means for the removal of difficult NFBs.

Topics: Child, Preschool; Foreign Bodies; Humans; Male; Nasal Obstruction; Nose; Treatment Outcome

Injuries and illness to the ears, nose, and throat are frequently seen in the emergency department. The emergency medicine physician must be proficient in recognizing these injuries and their associated complications and be able to provide appropriate management. This article discusses the most common otorrhinolaringologic procedures in which emergency physicians must be proficient for rapid intervention to preserve function and avoid complications. A description of each procedure is discussed, as well as the indications, contraindications, equipment, technique and potential complications.

Topics: Anesthesia; Ear; Emergencies; Epistaxis; Foreign Bodies; Hematoma; Humans; Lacerations; Nose; Otorhinolaryngologic Diseases; Peritonsillar Abscess

Magnetic earrings are becoming a popular item for both adults and children. In recent years, there have been case reports describing how two magnetic rings become affixed to the nasal septum.. We report the use of two cardiac pacemaker magnets and two micro polypus forceps to remove the magnetic rings via induced magnetism.. The use of magnetized instruments demonstrates a safe and effective way to remove impacted magnetic foreign bodies from the nose.

Topics: Adult; Foreign Bodies; Humans; Magnetic Fields; Magnets; Male; Nose

In this retrospective study of 41 cats with chronic nasal disease diagnoses included nasal neoplasia (n = 19), idiopathic chronic rhinosinusitis (ICRS) (n = 12), nasopharyngeal polyps (n = 3), foreign bodies (n = 2), nasopharyngeal stenosis (n = 1) and nasal aspergillosis (n = 1). In 3 cats diagnosis could not be established despite thorough work-up. Gender, indoor or outdoor housing, quality or quantity of nasal discharge, bacteriological findings of nasal flushes, radiology and CT findings did not differ significantly between cats with neoplasia and cats with ICRS. Cats with neoplasia were older (3 - 15, median 11 years) and showed clinical signs for a shorter period of time (1 - 8, median 2 months) than cats with ICRS (age 1 - 13, median 7.5 years; signs: 1 - 36, median 5 months). In all cats with neoplasia a mass was detected rhinoscopically, while this was only seen in 30 % of cats with ICRS. The exact diagnosis has to be established by examination of biopsy samples. A combination of physical examination, imaging studies and rhinoscopy with cytological and histopathological examination of samples enhances the likelihood for a correct diagnosis.

Topics: Age Factors; Animals; Aspergillosis; Biopsy; Cat Diseases; Cats; Chronic Disease; Diagnosis, Differential; Female; Foreign Bodies; Male; Nasal Polyps; Nose; Nose Diseases; Nose Neoplasms; Paranasal Sinus Diseases; Retrospective Studies; Rhinitis; Sinusitis

Ear, nose and throat foreign bodies are common in ENT clinical practice. This study was designed to establish the local data of otorhinolaryngeal foreign bodies in term of prevalence among paediatric and adult groups, the clinical features, types of foreign body at different sites, and laterality of foreign bodies.. This study was carried out at ENT department, Sarawak General Hospital, Malaysia, from 1st January 2005 to 31st December 2009. A total of 1084 cases were included and statistically analyzed.. Ear foreign bodies showed the highest incidence which was consisted of 480 (44.3%) cases, followed by nose in 270 (24.9%) cases, pharynx in 251 (23.2%) cases, esophagus in 57 (5.3%) cases and laryngo-tracheobronchial tree in 26 (2.4%) cases. Otorhinolaryngeal foreign bodies occurred more frequently in 0-10 year old age group which constituted 651 (60.1%) cases. The descending order of frequency for foreign body sites in adult was pharynx (17.2%), ear (12.8%), esophagus (3.1%), nose (1.7%) and laryngo-tracheobronchial tree (1.1%). The type of foreign bodies varies with age group and site of foreign body lodgement. In general, common foreign bodies in both adult and children were food related, with the additional of small objects such as plastic toy in paediatric group.. Otorhinolaryngeal foreign bodies were found more frequently in children. The types of foreign body were different from age group and sites of foreign body lodgement. The local food constituted the highest incidence of ear, nose, and throat foreign bodies with additional of plastic toys in paediatric group.

Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Ear; Female; Foreign Bodies; Humans; Incidence; Infant; Infant, Newborn; Male; Middle Aged; Nose; Pharynx; Retrospective Studies

The aim of the present study is to characterize the risk of complications and prolonged hospitalization due to stationery items according to age and gender of patients, FB characteristics and foreign body (FB) location, circumstances of the accident, as emerging from the ESFBI study.. A retrospective study in major hospitals of 19 European countries was realized on children aged 0-14 having inhaled/aspired or ingested a stationery item. In the years 2000-2003 a total of 2094 FB injuries occurred in children aged 0-14 years. The characteristics of the child, the FB consistency and the occurrence of complications were analyzed.. Among FB injuries, 62 (3%) were due to a stationery item: 32 were due to objects insertion in the ears while 30 occurred in the upper and lower respiratory tract. Objects most frequently involved are parts of pens in children younger than 3 years and eraser in older. 39% of children needed hospitalization. The most documented complication was inflammation of external ear. Almost 24% of injuries happened under adults' supervision.. Injuries are events that in many cases can be prevented with appropriate strategies. Passive environmental strategies, including product modification by manufacturers, are the most effective. Our study testifies that stationary is involved in a non negligible percentage of FB injuries. This results confirm the fact that when passive preventive strategies are not practical, active strategies that promote behaviour change are necessary and information about this issue should be included in all visits to family pediatricians.

Topics: Adolescent; Child; Child, Preschool; Confidence Intervals; Ear, External; Europe; Female; Foreign Bodies; Gastrointestinal Tract; Hospitals, Urban; Humans; Incidence; Infant; Infant, Newborn; Larynx; Length of Stay; Lung Injury; Male; Nose; Odds Ratio; Patient Education as Topic; Pharynx; Respiratory System; Retrospective Studies; Risk; Trachea

Nasal foreign bodies are common in children. Button batteries deserve particular interest due to the severity and precocity of the injuries they cause. The button battery represents a growing danger. Its small size and brilliant appearance make them attractive to children, often being introduced in the nose, ear or mouth. It is imperative that the community and physicians are aware of the risks it poses. Early diagnosis and immediate removal is essential. Their delay can lead to necrosis of the nasal mucosa and septal perforation. We report 10 cases of septal perforation due to button battery. We emphasize the dangers of nasal impaction and the need for quick removal to avoid long-term complications.

Topics: Child, Preschool; Electric Power Supplies; Female; Foreign Bodies; Humans; Male; Nasal Septum; Nose

Topics: Ear; Female; Foreign Bodies; Humans; Male; Nose; Pharynx

A nasal foreign body was discovered on routine radiographic examination of a 7-year-old girl following traumatic injury to permanent maxillary central incisors. The mother and the patient were unaware of the object's presence and the child had no nasal symptoms. The child was referred to an ear, nose and throat (ENT) surgeon to have the object assessed and removed. This was accomplished successfully without sequelae on an outpatient basis. This article highlights the role of a dentist in the proper detection and diagnosis, prompt referral for its management and reduction in complications related to foreign bodies.

Topics: Awareness; Child; Dentistry; Female; Foreign Bodies; Humans; Mothers; Mouth; Nose; Radiography; Tooth Injuries

Clinical manifestation bipolar coagulation treatment for nosebleed. The patient suffered from obstruction,fever and headache three weeks after operation. Clinical and laboratory examination nasal septum bilateralism knuckle, soft quality, puncture with purulent secretion. Diagnose: abscess of nasal septum.

Topics: Aged; Endoscopy; Foreign Bodies; Humans; Male; Nose

Rhinoliths are calcareous concretions that are formed by the deposition of salts on an intranasal foreign body over a number of years. We describe a rare case of rhinolithiasis, whereby a small foreign body has been lodged in a man's nasal cavity for over 80 years. He presented to the ear, nose and throat clinic with a sore throat and an incidental finding of a rhinolith was made which was confirmed by x-ray. This was managed conservatively.

Topics: Aged, 80 and over; Calcinosis; Calculi; Diagnosis, Differential; Endoscopy; Foreign Bodies; Humans; Male; Nasal Cavity; Nose; Nose Diseases

Cone beam computed tomography (CBCT) of orthodontic patients is a diagnostic tool used increasingly in hospital and primary care settings. It offers a high-diagnostic yield, short scanning times, and a lower radiation dose than conventional computed tomography. This article reports on four incidental findings-that appear unrelated to the scan's original purpose-arising in patients for whom CBCT was carried out for orthodontic purposes. It underlines the need for complete reporting of the data set.

Topics: Adolescent; Cervical Atlas; Child; Cone-Beam Computed Tomography; Dental Enamel; Female; Foreign Bodies; Humans; Incidental Findings; Male; Mandibular Condyle; Nose; Root Resorption; Tooth Eruption, Ectopic; Tooth, Supernumerary

Ear nose and throat foreign bodies in children are one of the most common emergencies faced by otorhinolaryngologists. Our objective in the study conducted in the otolaryngology department of R.G. Kar Medical College & Hospital was to find out the socio-demographic correlates of self inflicted foreign body insertion in ear-nose-throat in children presenting in out patient department and emergency.. A cross sectional descriptive study was conducted from October 2009 to March 2010 in the out patient department and emergency of otolaryngology. Using a predesigned and pretested questionnaire, socio-demographic data was collected prospectively on every alternate day by examining clinically all new pediatric patients attending with self-inflicted foreign body and interviewing their caregivers after removal of foreign body. The data collected from 288 children was analyzed by using simple proportion, odds ratio with 95% confidence interval, χ(2), t-test and analysis of one way variance (ANOVA) test. Epi info 3.4.3 version (CDC, Atlanta, retrieved from WHO website, on 01.11.09) and SPSS 17.0 were used for statistical calculations.. Analysis showed male preponderance (59.72%) of cases from urban area (63.9%), predominance of 0-5 years age group with 5.19 ± 3.02 (mean ± standard deviation) years average age, nasal foreign body was on the top (44.4%), majority from low income (58.33%) joint family (65.3%) with housewives (75.0%) as primary care giver, majority of whom reported to have nil or low literacy (61.1%). 19.4% subjects having local pathology showed significant association with urban residence, joint family, low socio-economic status and two or less than two children of the mother of the participant children. Past history of similar incidence was found in 22.2% of study subjects and significantly associated with nasal foreign body insertion and higher among the children of housewives.. Increasing awareness of the prime caregivers by the routine grass root level health workers may be tried to reduce incidence of this risky health event and capacity building of the Primary level physicians to handle foreign body insertion cases can lessen the stress of the victim children and their parents.

Topics: Age Distribution; Analysis of Variance; Chi-Square Distribution; Child; Child, Preschool; Ear; Emergency Medical Services; Female; Foreign Bodies; Health Promotion; Humans; Incidence; India; Male; Needs Assessment; Nose; Pharynx; Primary Prevention; Risk Assessment; Sex Distribution; Socioeconomic Factors

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Imaging, Three-Dimensional; Multidetector Computed Tomography; Nose

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Insufflation; Nasal Obstruction; Nose; Parents; Pressure

Abstract Nasal foreign bodies may result from the abundant availability of tiny objects in our society and a curious child exploring his or her nasal cavities. An inserted object that is not witnessed or retrieved can remain relatively asymptomatic or cause local tissue damage and potentially yield more serious consequences. An unusual case of a young child who presented for dental rehabilitation under general anesthesia is described. Immediately prior to the nasotracheal intubation, an unanticipated foreign body was detected and safely removed before any injury occurred. This case report discusses the presentation and pathophysiology of nasal foreign bodies. Moreover, applicable suggestions are provided to aid in the prevention and management of the unexpected discovery of a nasal foreign body after the induction of general anesthesia.

Topics: Anesthesia, General; Child, Preschool; Epistaxis; Foreign Bodies; Foreign-Body Migration; Humans; Intubation, Intratracheal; Male; Nose; Suction

Transnasal intracranial penetrating injury is rare. We report a case of transnasal intracranial penetrating metallic chopstick, which was removed successfully by endoscopic approach, and management of transnasal intracranial penetrating injuries.

Topics: Brain Injuries; Endoscopy; Foreign Bodies; Humans; Male; Middle Aged; Nose; Sphenoid Sinus; Wounds, Penetrating

Foreign body aspiration is a commonly encountered emergency in children. Foreign body can lodge in any site from supra-glottis to the terminal bronchioles. Symptoms might range from none to respiratory compromise, cardiac arrest and even death depending on location and size. We report successful management of a child who aspirated a nasal foreign body during physical examination in an outpatient department causing complete airway obstruction with special mention about different management options available for managing near total respiratory arrest from an aspirated foreign body in the ED.

Topics: Airway Obstruction; Child, Preschool; Female; Foreign Bodies; Foreign-Body Migration; Humans; Nose; Respiratory Aspiration

Endoscopic endonasal surgery (EES) is standard practice in sinonasal disease and is becoming more accepted in the performance of anterior skull base resections. We report our experience with image-guided surgery (IGS) in difficult cases of paranasal sinus (PNS) and skull base pathologies and discuss advantages and disadvantages of this technique.. A retrospective chart review was performed for the period 2004-2009. Degree of PNS involvement, indication for IGS, incidence of major complications, need for revision surgery, and technical data regarding the system were gathered.. Sixty-two of 86 patients were followed for at least one year and therefore included in the analysis. Indications for IGS were mostly revision surgery for polyposis (42%), chronic rhinosinusitis (CRS) of frontal and/or sphenoid sinuses (14.5%), skull base tumours (30.6%), and foreign body removal (4.8%). Revision rates after IGS in polyposis, CRS, and benign skull base tumours were 7.7%, 11.11%, and 7.1%, respectively.. IGS is of particular benefit in the management of sinonasal polyposis, benign skull base tumours, palliative surgery, and foreign body removal. IGS may avoid trauma to the orbit and anterior skull base and reduces the rate of revision surgeries rendering more meticulous and complete operations possible. We also think it could be helpful for foreign body removal.

Topics: Adolescent; Adult; Aged; Chronic Disease; Endoscopy; Female; Foreign Bodies; Humans; Male; Middle Aged; Nasal Polyps; Nose; Otorhinolaryngologic Surgical Procedures; Reoperation; Retrospective Studies; Rhinitis; Sinusitis; Skull Base Neoplasms; Surgery, Computer-Assisted; Young Adult

Cone-beam computed tomography (CBCT) has become popular, and its many inherent advantages are indisputable. Nevertheless, CBCT is prescribed cautiously because the radiation dosage is higher than that of conventional radiography. When and to what extent should CBCT be prescribed for orthodontic patients? The purpose of this article is to present 4 curious cases in which a considerable discrepancy was found between the conventional panoramic radiograph and the CBCT view. Is it time to spare patients an unnecessary conventional panoramic radiograph and shift to CBCT for all patients?

Topics: Adolescent; Adult; Bicuspid; Cone-Beam Computed Tomography; Female; Foreign Bodies; Humans; Imaging, Three-Dimensional; Mandibular Fractures; Maxilla; Maxillary Sinus; Nose; Orthodontic Anchorage Procedures; Radiography, Panoramic; Tooth Root

Topics: Cough; Eye; Female; Foreign Bodies; Humans; Middle Aged; Nose

Topics: Child, Preschool; Evidence-Based Emergency Medicine; Foreign Bodies; Humans; Male; Nose; Parents; Pressure

To present four cases of button battery nasal foreign bodies that were referred to an otolaryngology department over a 6-month period.. Four cases are presented and discussed with a review of current literature.. Four children aged 2-4 years who were referred to an otolaryngology department over about 6 months were found to have a button battery in their nose. While there was mucosal damage in all the noses the likelihood of a septal perforation developing appears to be related to the time interval between insertion and removal. The two patients who did not develop a septal perforation had the battery removed after about 90 minutes and 3 days. The two patients who did develop a perforation had the battery removed after 4 hours and 24 hours. Battery thickness may also be important as the patient who had the battery removed at 3 days had a 2 mm thick battery whereas the other three all had a 5 mm thick battery.. As button batteries are ubiquitous it is imperative that consumers and medical practitioners are aware of the risks they pose if placed in the nose, and also elsewhere in the body.. As early removal of a button battery is likely to decrease the chances of a septal perforation developing a nasal foreign body should be considered to be a button battery until proven otherwise.

Topics: Child, Preschool; Diagnosis, Differential; Endoscopy; Female; Foreign Bodies; Humans; Male; Nasal Septum; Nose; Rupture

Topics: Animals; Epistaxis; Foreign Bodies; Male; Nose; Nose Diseases

A 30-year-old male presented with accidental injury with an arrow which referred to us from a peripheral village hospital. It was found that the arrow was penetrating through the nasal bones. An xray skull lateral view showed the tip of the arrow penetrating into the posterior wall of the sphenoid sinus. As the patient had no clinical evidence of neurological or vascular injury, he was immediately operated upon and the arrow was removed. Patient was discharged in good condition and a 3-month follow-up was normal.

Topics: Adult; Foreign Bodies; Head Injuries, Penetrating; Humans; Male; Nose; Radiography; Skull Base

Topics: Accidents, Traffic; Brain Injuries; Cranial Fossa, Anterior; Craniotomy; Endoscopy; Foreign Bodies; Humans; Male; Nose; Tomography, X-Ray Computed; Wounds, Penetrating; Young Adult

A 20-year-old woman who was fit and well presented with a history of left nasal blockage for 2 years. She was noted on anterior rhinoscopy to have nasal septal deviation towards the left. She was listed for septoplasty with the aim of relieving nasal obstruction. At operation she was found to have a mildly deviated septum to the left. There was also a rhinolith in the left nostril posterior to the deviated septum (figure 1). Following removal of the rhinolith, her nasal airway appeared adequate; hence, septoplasty was not performed. Postoperatively, the patient was pleased with the outcome. When the patient was shown the foreign body she recalled inserting a pen cover into her nose about 10 years previously (figure 2). When she presented to the Accident and Emergency department at that time she was told that there was no foreign body in her nose.

Topics: Diagnosis, Differential; Female; Foreign Bodies; Humans; Natural Orifice Endoscopic Surgery; Nose; Nose Deformities, Acquired; Young Adult

Foreign bodies may present to the general dental practitioner, either as a cause of complaint or, more commonly, as an incidental finding during routine examination. This article describes an unusual case where a rhinolith perforated the hard palate to appear in the mouth as an erupting tooth.. It is useful for the general dental practitioner to be aware of the existence of foreign bodies, their sequelae and management.

Topics: Adult; Catheters, Indwelling; Diagnosis, Differential; Drainage; Foreign Bodies; Humans; Male; Nasal Obstruction; Nose; Palate, Hard; Paranasal Sinus Diseases; Paranasal Sinuses; Tooth Eruption, Ectopic

Topics: Chewing Gum; Child; Food Packaging; Foreign Bodies; Humans; Nose; United Kingdom

Topics: Child, Preschool; Endoscopes; Equipment Design; Female; Foreign Bodies; Humans; Male; Nasal Septum; Nose; Turbinates; Video Recording

Topics: Adult; Diagnosis, Differential; Endoscopy; Foreign Bodies; Humans; Male; Nose

Topics: Child; Foreign Bodies; Humans; Nose; Posture; Restraint, Physical

Topics: Child; Foreign Bodies; Humans; Nose; Posture; Restraint, Physical

Topics: Child; Ear; Foreign Bodies; Humans; Larynx; Mouth; Nose; Pharynx

We report an unusual case of an accidental firearm injury, in a 35-year-old male firearm trainer, by a bullet cover fired in a retrograde manner, which was lodged in his right nasal cavity just reaching sphenoid sinuses without any neurological impairment. The extent of tissue damage and posterior extent of tract was assessed by plain radiography and CT scans. The bullet cover was recovered under endoscopic guidance and the wound sutured with a small defect left for healing by secondary intention keeping in mind second stage reconstruction of the persisting defect. On follow up the wound had healed with good esthetic results. The case showed that gunshot injuries can be treated primarily as well that undermining of the edges of wound and regular well-lubricated dressings are key to good healing.

Topics: Adult; Bandages; Foreign Bodies; Humans; Male; Maxillofacial Injuries; Nose; Tomography, X-Ray Computed; Wound Healing; Wounds, Gunshot

Attention deficit hyperactivity disorder (ADHD) is one of the commonest behaviour disorders in children, characterized by hyperactivity, inattention and impulsiveness. Tendency towards risk-taking behaviour and accident proneness is well recognized in these children. Accordingly, it could be hypothesized that children with ADHD are at increased risk for self-inserting foreign bodies, but a Medline search did not reveal any studies that investigated this possibility.. To study the prevalence of ADHD among children seen with self-inserted foreign bodies.. Children attending ENT service in a tertiary care children's hospital with self-inserted foreign bodies were assessed for the presence of ADHD. Two rating scales, Strengths and Difficulties Questionnaire (SDQ)-Parent Version, and Conners Parent Rating Scale (CPRS) were used to identify the cardinal features of ADHD.. A total of 34 children, age 3-10 years, participated in the study. Majority (51.6%) were female. Nearly 25% had one or more previous incidents of foreign body insertion and 20% had previous accidental injuries that needed hospitalization. A prevalence of 14.3% for ADHD was identified, which is almost 3 times more than that reported in a previous study among children attending medical and surgical outpatient clinics (5.1%). High rates for abnormal hyperactivity scores were reported by parents, 37.4% with SDQ and 20% with CPRS. Although 64.7% of the sample was under 5 years, almost all children who were identified with ADHD belonged to 5-10 year age group, thus effectively excluding younger aged children who may have age related apparent hyperactivity.. Awareness of possible association between self-insertion of foreign bodies and ADHD is needed and an assessment for hyperactivity/ADHD is justified in such children, especially in those over the age of 5 years.

Topics: Age Distribution; Attention Deficit Disorder with Hyperactivity; Child; Child, Preschool; Cohort Studies; Ear; Female; Follow-Up Studies; Foreign Bodies; Humans; Male; Nose; Prevalence; Retrospective Studies; Risk Assessment; Sex Distribution; Sri Lanka

Topics: Child; Foreign Bodies; Humans; Nose

Topics: Cleft Palate; Female; Foreign Bodies; Household Articles; Humans; Infant; Nose

Topics: Child; Foreign Bodies; Humans; Male; Nose

Topics: Child, Preschool; Diagnosis, Differential; Emergency Medicine; Fatal Outcome; Foreign Bodies; Humans; Intestinal Volvulus; Intestine, Small; Male; Malpractice; Medical Errors; Necrosis; Nose; Time Factors

The objectives of this study were to: (i) evaluate the effectiveness of 'parent's kiss' as a technique for removal of nasal foreign bodies in children; and (ii) determine whether this technique reduces the number of children requiring general anaesthesia for their removal.. This was a prospective observational study in the accident and emergency and ENT departments at Luton and Dunstable Hospital. The participants were 31 children with nasal foreign bodies, under the age of 5 years, presenting via the acute services over a 6-month period. The primary outcome measured was successful removal of nasal foreign body with the 'parent's kiss' technique. Secondary outcome was reduction in the number of general anaesthetics following introduction of the technique.. The technique was successful in 20 out of the 31 children (64.5%) in the study group. Only one patient required general anaesthesia for removal of nasal foreign body (3%). This compares with a rate of 32.5% requiring removal under general anaesthetic in the preceding 6-month period. The 'parent's kiss', when not successful, seemed to improve the visibility of the foreign body making their subsequent removal easier.. The 'parent's kiss' is an effective technique. It is non-traumatic, both physically and emotionally, for the child subjected to it. We advocate that it should be used routinely as a first line of management in children with a nasal foreign body in the primary care setting.

Topics: Child, Preschool; Emergency Service, Hospital; Foreign Bodies; Humans; Infant; Nasal Obstruction; Nose; Parents; Patient Satisfaction; Pressure; Prospective Studies; Treatment Outcome

Topics: Ear; Foreign Bodies; Humans; Methods; Nose; Pharynx

Topics: Child; Child, Preschool; Foreign Bodies; Humans; Infant; Nose; Patient Compliance; Supine Position

Most metallic foreign bodies are inert, but they can cause chronic inflammatory reactions and be a source of infection. Identification and removal of foreign bodies from wounds is often necessary. The present report describes two cases of a foreign body embedded in the external nose. Each case was successfully treated by an open rhinoplasty approach. This approach is an effective and safe method for removal of foreign bodies in the external nose. It provides a good surgical field and a better cosmetic outcome than a conventional incision.

Topics: Accidents, Occupational; Adult; Cicatrix; Foreign Bodies; Humans; Male; Metals; Nasal Cartilages; Nose; Rhinoplasty; Treatment Outcome; Welding

Development of a cystic mass on the nasal dorsum is a very rare complication of aesthetic rhinoplasty. Most reported cases are of mucous cyst and entrapment of the nasal mucosa in the subcutaneous space due to traumatic surgical technique has been suggested as a presumptive pathogenesis. Here, we report a case of dorsal nasal cyst that had a different pathogenesis for cyst formation. A 58-yr-old woman developed a large cystic mass on the nasal radix 30 yr after augmentation rhinoplasty with silicone material. The mass was removed via a direct open approach and the pathology findings revealed a foreign body inclusion cyst associated with silicone. Successful nasal reconstruction was performed with autologous cartilages. Discussion and a brief review of the literature will be focused on the pathophysiology of and treatment options for a postrhinoplasty dorsal cyst.

Topics: Cysts; Female; Foreign Bodies; Humans; Microscopy, Electron, Scanning; Middle Aged; Nose; Nose Diseases; Rhinoplasty; Tomography, X-Ray Computed

Topics: Endoscopy; Foreign Bodies; Humans; Nasal Bone; Nasal Septum; Nose; Postoperative Care; Rhinoplasty; Skull Fractures

To determine the proportion of children with nasal foreign bodies who had button batteries as the foreign body.. To describe the clinical care and outcome of those children with a button battery foreign body.. A retrospective review of all children presenting to the accident and emergency room with a nasal foreign body or unilateral nasal discharge during a 6-month period was assessed.. Forty-four children were included. The most common object found was a plastic bead (27%), followed by foam, paper, or tissue fragments (23%); food matter represented 15%. A button battery was found in 3 patients (7%); other foreign bodies included stones, buttons, crayons, erasers, and a pellet. Thiry-six (82%) had their foreign body removed without anesthetic and 8 (18%) required a general anesthetic. All 3 children with a button battery went undiagnosed until examination in the operating theater. Because there was no previous indication of the presence of a button battery in the 3 children, the removal of the foreign body under general anesthesia was scheduled for the following day.. The removal of the button batteries would have been expedited had a plain radiograph been obtained, possibly resulting in less morbidity for our patients. We recommend a plain radiograph in all children presenting with a nonvisible foreign body or unilateral nasal discharge.

Topics: Child; Child, Preschool; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Infant; Male; Nose; Radiography; Retrospective Studies; Sex Distribution

The occurrence of foreign bodies (FB) in otorhinolaryngological practice is a common and serious problem among pediatric patients. The aim of this work is to characterize the risk of complications and prolonged hospitalization due to FBs in the nose in terms of the characteristics of the injured patients (age, gender), typology and features of the FBs, the circumstances of the accident and the hospitalization's details.. A retrospective study of FB associated injuries, assessing the characteristics of the injured child and the FB, the circumstances of the accident and finally the hospitalization details took place on children aged 0-14 in major hospitals of 19 European countries.. In total 688 cases were assessed. Complications and hospitalization occurred in 59 and 52 cases, respectively. Over 51% of patients were females. The median age of children who experienced a complication was four years. In the majority of cases FB removal was accomplished by means of a non-invasive technique (rhinoscopy with a nasal speculum or rigid fiberoptic endoscope. The majority of children were directly referred to the ENT department. The most common FBs associated with complications and hospitalization were nuts, seeds, berries, corn and beans, batteries and other inorganic objects such as broken parts of pens, paper clips and pearls. Over 38% of the injuries occurred under adults' supervision.. FB injuries in the nose are commonly encountered in clinical practice. Even if the presence of a FB is not usually life threatening, it may result in long-term complications such as perforation of the septum. Because the risks associated with FB injuries, public education about this problem is recommended.

Topics: Adolescent; Child; Child, Preschool; Data Collection; Endoscopy; Europe; Female; Foreign Bodies; Hospitalization; Humans; Infant; Infant, Newborn; Male; Nose; Retrospective Studies; Risk Factors

Topics: Child, Preschool; Contraindications; Female; Foreign Bodies; Humans; Incidental Findings; Magnetic Resonance Imaging; Nose; Tomography, X-Ray Computed; Treatment Outcome

A 54-year-old woman presented with maxillary sinusitis as a result of the migration of an implant into the sinus. We removed it endoscopically through the nose.

Topics: Dental Implantation, Endosseous; Dental Implants; Endoscopy; Female; Foreign Bodies; Humans; Maxillary Sinus; Maxillary Sinusitis; Middle Aged; Nose; Otorhinolaryngologic Surgical Procedures

Nasal foreign bodies are common in young children and are typically the result of intranasal placement by the child. The authors report a case of an extranasal foreign body in an adult, which presented as a nasal fracture following trauma to the nose. This uncommon presentation, previously unreported in the literature, highlights the importance of careful history taking in cases of nasal trauma and of thorough wound exploration if any penetrative injury is found.

Topics: Adult; Diagnosis, Differential; Foreign Bodies; Humans; Male; Nasal Bone; Nose; Radiography; Skull Fractures

Topics: Adolescent; Child; Child, Preschool; Ear; Emergencies; Esophagus; Female; Foreign Bodies; Humans; Infant; Infant, Newborn; Male; Nigeria; Nose; Otorhinolaryngologic Diseases; Pharynx; Retrospective Studies; Tropical Climate

To evaluate the long-term outcome of correction of nasal valve collapse with a porous polyethylene implant.. Retrospective review from November 1999 to December 2005. Nasal valve collapse was corrected with a porous polyethylene implant in 12 adults. Main outcome measures included relief of nasal obstruction and complications. Independent variables included other causes of nasal obstruction and need for revision surgery. Simple statistical analysis was performed.. Median follow-up was 5.6 years (58 months). 75% had complete resolution of nasal obstruction. 100% had complete resolution of nasal obstruction at 6 months and had coexisting causes of nasal obstruction. The implant extrusion rate was 21%. 42% went on to have revision surgery.. Correction of nasal valve collapse with a porous polyethylene implant provided good long-term symptomatic relief of nasal obstruction, but with significant incidence of infection, implant extrusion, and need for revision surgery. The use of this implant should be reserved for cases in which autogenous graft material is not available.

Topics: Adult; Aged; Biocompatible Materials; Device Removal; Female; Follow-Up Studies; Foreign Bodies; Humans; Longitudinal Studies; Male; Middle Aged; Nasal Obstruction; Nose; Polyethylene; Porosity; Postoperative Complications; Prostheses and Implants; Reoperation; Retrospective Studies; Surgical Wound Infection; Treatment Outcome

Topics: Bias; Foreign Bodies; Humans; Nose; Treatment Outcome

Paediatric nasal foreign bodies is a common clinical problem effecting children mainly 2-8 years of age. Often treated in A & E Departments, with little or no specialised ENT experience or equipment. We present a simple, parent administered technique for removal of paediatric nasal foreign bodies. The technique is safe and effective and is easy to perform on nervous and frightened children.

Topics: Cardiopulmonary Resuscitation; Child; Child, Preschool; Foreign Bodies; Home Nursing; Humans; Insufflation; Nose

Foreign body in the nose most frequently occurs in childhood. It could be of various origin, pieces of toys, paper and uncommon metal body. Consequences include one- sided nasal breathing problem, nasal secretion and in some cases pain and secretion become purulent. The aim of this paper is to present uncommon foreign body in the nose. RTG diagnosis and extraction are the methods of choice.

Topics: Child, Preschool; Foreign Bodies; Humans; Nose

Topics: Administration, Intranasal; Anesthetics, Local; Child; Child, Preschool; Foreign Bodies; Humans; Infant; Nasal Obstruction; Nose; Parents

Nasal foreign bodies represent a common ENT problem in children. Ninety percent of these can be removed without otorhinolaryngologic intervention. Numerous documented techniques exist, employing instruments, which pose problems in children. Positive pressure technique avoids the need for instrumentation, therefore bypassing the disadvantages met by other techniques. Positive pressure technique is both safe and effective, highlighted by a success rate of 62.5% in 8 patients presenting acutely. Promising result of this small study warrantees further study in larger number of paediatric population. In contrast to previous documentation, children nursed prone tolerated the procedure better. Hollow objects were resilient to this technique and require other methods of removal. Positive pressure technique should be considered to remove foreign bodies from the paediatric nose especially in emergency department setting.

Topics: Child; Child, Preschool; Female; Foreign Bodies; Humans; Male; Nose; Pisum sativum; Pressure

Topics: Child; Equipment Design; Foreign Bodies; Humans; Nose; Surgical Instruments

A 9-year-old boy presented to our department 8 days after attempting to insert a non-piercing magnetic ear stud on either side of his nose. He had been unable to remove them, and both magnetic parts of the ear studs were still present in his nose. Examination of the nose was difficult, as he was unco-operative and his nose was filled with mucus and crusts. X-rays of the nose revealed the two ear studs on either side of the nasal septum (Fig. 1). The magnets had caused compression and thinning of the septal cartilage. Examination under general anaesthesia revealed the two magnets embedded into the mucosa across the septum. The magnets were removed under general anaesthesia by clamping and sliding them in opposite directions. The exposed compressed cartilage was gradually covered by granulation tissue and eventually nasal mucosa.

Topics: Child; Foreign Bodies; Humans; Magnetics; Male; Metallurgy; Nasal Septum; Nose; Radiography

This study reviews the management of children with foreign bodies in the nose or ear in an attempt to see whether these children can be successfully managed in the Accident and Emergency (A & E) Department or whether they should be directly referred to the Otolaryngology service.. The records of all children with a foreign body in either the nose or ear who presented to the Accident and Emergency Department at The National Children's Hospital over a 2-year period were reviewed.. 82 children presented with a foreign body in the nose and 53 (65%) were successfully managed in the A & E Department. In contrast, of the 58 children with a foreign body in the ear only 4 (7%) were successfully removed in the A & E Department.. Most foreign bodies in the nose can be successfully removed in the Accident and Emergency Department. In contrast there is a high failure rate in removal of foreign bodies from the ear in the A & E Department and these should be referred directly to the ENT service.

Topics: Accidents; Adolescent; Child; Child, Preschool; Ear; Emergency Medical Services; Female; Foreign Bodies; Humans; Infant; Male; Nose; Otorhinolaryngologic Surgical Procedures

Topics: Adult; Cartilage; Foreign Bodies; Humans; Male; Nasal Septum; Nose; Nylons; Rhinoplasty; Sutures; Transplantation, Autologous

To report the data from a multidisciplinary bad breath consultation in Germany.. In this cross sectional study, 407 patients attending a bad breath consultation were examined by a specially trained dentist, with an ENT-specialist, an internist, and a psychologist on call.. All patients reported suffering from bad breath but only 72.1% showed detectable signs of breath malodour. Within this group, 92.7% revealed an oral cause, 7.3% revealed an extra-oral cause. Within the group without malodour, 76.3% had received prior diagnostics and treatments from other doctors, whereby 36% had received one or more gastroscopies and 14% had undergone an ENT operation. In only ten cases had an organoleptic evaluation of the putative malodour been performed.. Our data reveal that breath malodour is mainly of oral origin and that patients with pseudo-halitosis are frequently not diagnosed correctly by doctors, resulting in a considerable amount of over-treatment.

Topics: Adolescent; Adult; Aged; Child; Cross-Sectional Studies; Dental Caries; Diabetes Complications; Female; Foreign Bodies; Gingival Diseases; Halitosis; Humans; Male; Medical History Taking; Middle Aged; Nose; Periodontitis; Physical Examination; Sinusitis; Tongue; Tonsillitis

Intracranial penetrating injury through the nose is uncommon. We present the case of a four-year-old girl who sustained a transnasal, intracranial penetrating injury with a sharp wooden object. We performed endoscopic removal of the foreign body and repair of the associated cerebrospinal fluid fistula.

Topics: Brain; Brain Injuries; Child, Preschool; Endoscopy; Ethmoid Bone; Female; Foreign Bodies; Humans; Magnetic Resonance Imaging; Nose; Skull Fractures; Wounds, Penetrating

Occurrence of foreign bodies (FBs) in ear, nose and throat (ENT) in children are not uncommon in clinical practice. We described our experience with ENT foreign bodies in Melanesian children.. The study was carried out at the tertiary referral center which is also a University teaching hospital. The 15-year period from 1990 to 2004, 1037 cases of ENT foreign bodies were managed. The clinical, operative and follow up data of these patients were collected from available clinic cards and admission charts. A retrospective analysis was made with these data.. Foreign bodies in the external auditory canal constituted 711 (68.6%) cases. It was followed by nose in 258 (24.9%), pharynx in 26 (2.5%), esophagus in 21 (2.0%) and laryngotracheobronchial (LTB) tree in 21 (2.0%) cases. Innumerable varieties of foreign bodies were removed from the ear. The common ones were stones in 277 (39.0%), seeds in 142 (20.0%), plastic ornament beads in 70 (9.8%) and cotton in 48 (6.8%) cases. Six hundred and thirteen (86.2%) of them were removed under microscope at the clinic without any complications. The difficult ones in uncooperative children were removed in the operation theatre. They numbered 98 (13.8%). The nasal foreign bodies were exclusively limited up to the age of 12 years. Common nasal foreign bodies were foam in 54 (20.9%), seeds in 51 (19.8%), stone in 28 (10.9%) and ornament beads in 24 (9.3%) cases. Two hundred and forty-six (95.3%) of them were removed in the clinic. Only 12 (4.7%) were removed in the operation theatre. Fishbone was the commonest (23, 90.2%) foreign body encountered in the pharynx of the children. Coins were the exclusive esophageal foreign bodies in children and all were removed in the operation theatre under general anesthesia. In the LTB tree the FBs were mostly localized to the right main bronchus which occurred in 11 (52.4%) cases. This was followed by the trachea in four (19.1%) cases. The different types of FBs encountered were coffee beans in eight (38.0%), peanuts in five (23.8%), plant seeds in three (14.2%) cases. We encountered two mortalities in these LTB FB patients.. Otolaryngological foreign bodies in children are common. For early diagnosis a high index of suspicion has to be maintained by pediatric otolaryngologist.

Topics: Adolescent; Child; Child, Preschool; Ear, External; Foreign Bodies; Humans; Infant; Melanesia; Nose; Pharynx; Retrospective Studies

Topics: Child, Preschool; Emergency Nursing; Exhalation; Foreign Bodies; Humans; Infant; Nose; Parent-Child Relations; Patient Education as Topic; Pediatric Nursing; Professional-Family Relations

Topics: Adult; Body Piercing; Female; Foreign Bodies; Hemorrhage; Humans; Infections; Intubation, Intratracheal; Nose; Respiratory System; Tongue

This report describes the incidental finding and removal of an unusual intranasal foreign body in a 9-year-old boy. The spectrum of items lost and found in the nasal cavity are reviewed before discussing the management of this case. Dental Practitioners should remain vigilant as radiopaque foreign bodies can be identified on commonly taken dental radiographic views. Patients should be referred promptly for foreign body removal in order to minimize potential complications.

Topics: Child; Foreign Bodies; Humans; Male; Nose

Topics: Adolescent; Adult; Foreign Bodies; Humans; Magic; Male; Needles; Nigeria; Nose; Pharynx; Retrospective Studies

Foreign bodies of the nose in adults are rare, although they are frequently encountered among children and mentally retarded patients. They are often asymptomatic and consequently may remain undetected for many years. We describe a case of an intranasal foreign body mimicking a nasal lesion.

Topics: Female; Foreign Bodies; Humans; Maxillary Sinus; Middle Aged; Nasal Cavity; Nose; Tomography, X-Ray Computed; Treatment Outcome

Accidents with foreign bodies are common in the paediatric population. It is impossible to mandate that all foreign bodies (FB) in the ear, nose and throat (ENT) of children should be removed by the specialty-trained physicians. This study evaluates the management of ENT FB removal in children achieved by emergency physicians not trained in otolaryngology in an urban tertiary care paediatric emergency department.. A retrospective study was conducted on consecutive paediatric patients presenting with suspected foreign body in the ear, nose or throat to the children's emergency department (ED) of KK Women's and Children's Hospital over a 10-month period. Removal methods, foreign body types, rates of successful removal and associated complications were evaluated.. There were 353 patients, most of whom presented after office hours. An attempt at removal of FB by the emergency physician was made in 76.8 percent of the cases. ENT specialist referral in the ED was made in 1.7 percent of the cases. 50.1 percent of cases were discharged after successful removal of FB in the ED. 4.2 percent of cases were admitted for removal of FB and 44.8 percent of cases were referred to the ENT specialist clinic for further assessment.. The emergency physician managed most cases in the ED and urgent referral to ENT specialists was not required. Complications and morbidity often occur from repeated attempts at removal of the FB. ENT opinion should be sought whenever there is doubt. The ED physician should be skilled in techniques of FB removal, especially throat FB, which had the lowest rate of success in our study.

Topics: Age Distribution; Child; Child, Preschool; Ear; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Nose; Oropharynx; Otolaryngology; Pharynx; Referral and Consultation; Retrospective Studies; Singapore

Topics: Adult; Emergency Nursing; Female; Foreign Bodies; Humans; Magnetics; Nasal Septum; Nose; Radiography; Treatment Outcome

Topics: Female; Foreign Bodies; Humans; Middle Aged; Nasal Septum; Nose; Self-Injurious Behavior; Violence; Wounds, Penetrating

KEYPOINTS: Transnasal flexible laryngo-oesophagoscopy (TNFLO) is a safe and well-tolerated procedure that may be performed in a procedure room in the outpatient or day-case/main theatre setting. It requires a local anaesthetic and no sedation. It may be used to histologically diagnose or exclude pathology from the nose to the gastro-oesophageal junction. It provides a "one stop" diagnosis service, reducing diagnostic delays, the need for endoscopy under general anaesthesia, barium swallows and follow-up outpatient appointments. Therapeutic procedures such as vocal cord medialization, endolaryngeal laser surgery, insertion of speech prostheses and foreign body removal may be performed without general anaesthesia.

Topics: Ambulatory Care; Anesthetics, Local; Deglutition Disorders; Esophageal Diseases; Esophagoscopes; Esophagoscopy; Esophagus; Fiber Optic Technology; Foreign Bodies; Head and Neck Neoplasms; Humans; Laryngoscopes; Laryngoscopy; Neoplasm Recurrence, Local; Nose; Pharyngeal Diseases; Pliability; Posture; Prospective Studies; Recovery of Function; Vocal Cord Paralysis

Topics: Age Factors; Child, Preschool; Female; Finland; Foreign Bodies; Humans; Male; Nose; Risk Factors

A partially resected soft palate represents a more significant challenge for effective prosthodontic obturation than for complete soft palate resections. In fact, for some patients it may not be possible to prosthetically rehabilitate with partial soft palate resections, resulting in velopharyngeal dysfunction, which could include hypernasal voice quality and nasal regurgitation of food and liquids. This article presents a technique for recording the contours of a partial soft-palate defect for prosthetic obturation.

Topics: Denture Bases; Food; Foreign Bodies; Humans; Nose; Palatal Obturators; Palate, Soft; Prosthesis Design; Speech Disorders; Surface Properties; Velopharyngeal Insufficiency

With the miniaturization of electronic devices, the demand and usage of button batteries has risen. As a result, button batteries are more readily available for young children to handle and potentially mishandle. They are frequently inadvertently placed by children in their ears or noses. Occasionally they are swallowed and lodged along the upper aerodigestive tract.. We outline the pathophysiology of button battery-induced trauma and present key radiological features of button batteries that are important in preventing delayed diagnosis after pediatric ingestion.. Button batteries of all sizes have a distinctive double contour on radiographs.. Button battery ingestion requires prompt diagnosis and removal. A high index of suspicion along with radiographs help assist with the diagnosis. Potential tragic complications can be averted with expeditious removal.

Topics: Ear; Female; Foreign Bodies; Humans; Infant; Nose; Radiography, Thoracic; Upper Gastrointestinal Tract

Topics: Accidents, Occupational; Adult; Angiography; Device Removal; Ethmoid Sinus; Facial Bones; Follow-Up Studies; Foreign Bodies; Humans; Male; Maxillary Sinus; Metals; Nose; Postoperative Complications; Skull Fractures; Temporal Bone; Wounds, Penetrating

This article presents a summary of the common foreign bodies (FB) and a practical approach to diagnosis and management. Removal of FB requires good lighting, a cooperative or fully restrained patient and a gentle approach by the clinician. An accurate diagnosis of the FB should be made prior to attempts to remove it and most, if not all FB could be safely removed the following day under better lighting conditions, sedation or anaesthesia in a fasted patient by a more senior clinician.

Topics: Causality; Conscious Sedation; Ear; Emergencies; Emergency Treatment; Foreign Bodies; Humans; Lighting; Nose; Otolaryngology; Otorhinolaryngologic Surgical Procedures; Pharynx

This is the first report of which we are aware that describes the use of procedural sedation for the emergency department management of ear and nose foreign bodies in children < 18 years of age. During a 5.5-year period, we identified 312 cases of children with a foreign body in a single orifice (174 ear, 138 nose). Procedural sedation was performed in 23% of cases (43 ear, 28 nose) and ketamine was used most commonly (92%). Emergency physicians had a high rate of success in removing foreign bodies (84% ear, 95% nose) and a low complication rate. Procedural sedation had a positive effect on the success rate as more than half of the sedation cases had undergone failed attempts without sedation by the same physician. Emergency physicians should have familiarity with this indication for procedural sedation.

Topics: Anesthetics, Dissociative; Child, Preschool; Conscious Sedation; Ear; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Hypnotics and Sedatives; Ketamine; Logistic Models; Male; Midazolam; Nose; Retrospective Studies

Topics: Child; Emergency Treatment; Foreign Bodies; Humans; Nasal Septum; Nose

Topics: Child, Preschool; Emergency Treatment; Foreign Bodies; Humans; Nose; Seeds; Treatment Outcome

An incidental finding of a foreign body in the nose is an infrequent event. When foreign bodies are discovered incidentally, they are usually detected during an investigation of chronic symptoms. We describe a case that is of interest because a nasal foreign body had remained clinically silent for more than 50 years.

Topics: Endoscopy; Foreign Bodies; Humans; Male; Middle Aged; Nose; Tomography, X-Ray Computed

Topics: Animals; Diagnosis, Differential; Dog Diseases; Dogs; Female; Foreign Bodies; Nose; Radiography

Topics: Adult; Calcinosis; Female; Foreign Bodies; Humans; Nose; Tomography, X-Ray Computed; Turbinates

The purpose of this study was to identify the contribution of ingested lead particles to elevated blood lead concentrations in victims of gunshot injury to the maxillofacial region.. As part of a larger study of the effects of retained lead bullets on blood lead, a retrospective review of study findings was completed on 5 of 8 patients who sustained injuries to the maxillofacial region. These 5 patients were recruited into the larger study within 11 days of injury and showed a penetration path for the projectile that engaged the upper aerodigestive tract. All subjects were recruited from patients presenting for care of their gunshot injuries to a large inner-city trauma center with a retained bullet resulting from a gunshot injury. An initial blood lead level was measured for all recruited patients and repeated 1 to 17 weeks later. Medical history was taken along with a screening and risk factor questionnaire to determine other potential or actual sources (occupational/recreational) of lead exposure. (109)Cd K-shell x-ray fluorescence determinations of bone lead were completed to determine past lead exposure not revealed by medical history and risk factor questionnaire. Radiographs taken of the abdomen and chest, required as a part of the patient's hospital care, were retrospectively reviewed for signs of metallic fragments along the aerodigestive tract.. All 5 patients retained multiple lead pellets or fragments at the site of injury, sustained fractures of the facial bones, and showed increases in blood lead. Three of the 5 study subjects who sustained maxillofacial gunshot injuries involving the mouth, nose, or throat region showed metallic densities along the gastrointestinal tract indicative of ingested bullet fragments. Each patient with ingested bullet fragments showed rapid elevation of blood lead exceeding 25 microg/dL and sustained increases well beyond the time when all ingested fragments were eliminated. A 3-year follow-up on these 3 patients showed significantly sustained elevation of blood lead but less than that observed during the initial 6 months after injury. None of the 5 study subjects showed any evidence of metallic foreign bodies within the tracheobronchial regions indicative of aspiration.. Ingestion of lead fragments can result from gunshot injuries to the maxillofacial region and may substantially contribute to a rapid increase in blood lead level. Prompt diagnosis and elimination of ingested lead fragments are essential steps necessary to prevent lead being absorbed from the gastrointestinal tract. Increased blood lead in victims after gunshot injuries must be fully evaluated for all potential sources, including recent environmental exposure, absorption of lead from any remaining bullets in body tissues, and the possibility of mobilization of lead from long-term body stores such as bone.

Topics: Adult; Calcaneus; Confidence Intervals; Environmental Exposure; Facial Bones; Follow-Up Studies; Foreign Bodies; Humans; Lead; Male; Maxillofacial Injuries; Mouth; Nose; Occupational Exposure; Pharynx; Radiography; Retrospective Studies; Risk Factors; Skull Fractures; Spectrometry, X-Ray Emission; Tibia; Wounds, Gunshot

Miniature batteries are easily available in our domestic environment, powering many electronic devices and toys. Despite improvement in the safety standards, children are able to remove the batteries from these devices. These batteries pose a hazard to children, as they are small and easily inserted into the nose or ears or even swallowed. We describe 6 children who inserted button batteries into their noses. Four of these insertions resulted in septal perforations. The mechanisms and management of button battery injury are discussed. We emphasize the need for urgent removal of a battery from the nose to prevent long-term complications.

Topics: Child, Preschool; Foreign Bodies; Humans; Male; Nasal Septum; Nose

Two cases are presented, in which nasal foreign bodies in children were removed by a positive pressure technique using the mouth-to-mouth method. The technique is efficient, simple to perform and atraumatic to the child. The technique is suggested as first choice treatment in small children with nasal foreign bodies.

Topics: Child, Preschool; Foreign Bodies; Humans; Infant; Male; Nose; Positive-Pressure Respiration

The fashion of body piercing among adults has encouraged children to have similar procedures or imitate them by applying small magnets to sustain the jewelery used in piercing in position [Emerg. Med. J. 19 (2002) 71]. We present cases of children who have placed magnets on their nasal alae that became misplaced on to the nasal septum causing severe pain and in some cases nasal bleeding and septal perforation. We describe management of these cases.

Topics: Adolescent; Child; Epistaxis; Female; Foreign Bodies; Humans; Magnetics; Male; Nasal Obstruction; Nasal Septum; Nose; Pain; Surgical Instruments

To investigate pediatric foreign body cases in the aerodigestive tract, and to elucidate the characteristic problems in Japan.. A total of 310 pediatric patients (age 15 or below), gathered from two medical university hospitals (University of Tokyo and Jichi Medical School), were included in this study. Data were collected by retrospective chart review and were statistically analyzed.. Two-year-olds were the most common patients, and the range from age 1 to age 4 included 67.7% of all the patients. The most involved sites were the nose (39.4%) and the pharynx (38.4%), followed by the esophagus (12.9%) and the trachea-bronchi (6.5%). Fish bones and toys were the representative foreign bodies (30.7 and 13.6%, respectively). Other foreign bodies often encountered included coins, food, candy, peanuts and nuts, and batteries. The type of foreign body was closely related to the site in which foreign bodies were lodged: 77.3% of foreign bodies in the pharynx were fish bones, and toys were the most common impacted foreign body in the nose. In the esophagus, representative impacted foreign bodies were coins (35.7%), but disk-type battery ingestion has been increasing in recent years. Although most foreign bodies in the esophagus were safely removed, one case of a disk-type battery had a serious sequela. In the trachea-bronchi, peanuts, food, cotton, and coins were impacted. A rigid bronchoscope was basically used to remove foreign bodies, but in some cases, a fine flexible endoscope, with a channel for fiber forceps, was useful, because it could be inserted into narrow bronchi. Advance of a flexible endoscope will make it an excellent tool for diagnosis and management of the trachea-bronchial foreign body.. Fish bones in the pharynx, which were closely related to Japanese eating habits, and toys in the nose, were the typical foreign bodies encountered in this study. In the esophagus, an increased incidence of disk-type battery ingestion has become a serious problem in recent years. Since prevention is the most essential way to manage foreign body cases, feedback from studies to public education should be encouraged.

Topics: Adolescent; Bronchi; Bronchoscopes; Child; Child, Preschool; Endoscopy; Esophagus; Female; Foreign Bodies; Humans; Infant; Infant, Newborn; Japan; Laryngoscopy; Male; Nose; Pharynx; Play and Playthings; Retrospective Studies; Trachea

The Red Cross Children's Hospital is the only children's hospital in South Africa. It has a dedicated trauma unit for all children under the age of 13 and serves a population of approximately 2 million inhabitants. As part of the Child Accident Prevention Foundation program we have kept a database of all children treated for trauma in our hospital since 1991. Presently, we have over 88,000 entries in our database.. To study our experience with ingested foreign bodies in children.. A retrospective study was performed using the CAPFSA database of a total of 3677 patients presenting with foreign bodies. The hospital folders were searched using a standardised data extraction form. Only foreign bodies aspirated or ingested were included.. To date, 241 folders have been analysed.. Both sexes were equally affected (boys 49%). Age ranged between 0 and 12 years, although there was only one child under the age of 1. At the age of 3 years there was a peak in incidence (24% of all cases). Nature of ingested object: Although the objects were from a range of materials, most were metal (40%) or plastic (23%). The most commonly ingested object was a coin (28%), a ball (20%) or bone (8%). The size ranged from 0.1 to 3 cm (as measured by virtual ring), the most common size of an ingested foreign body was 0.5 cm. Anatomical site: The most common anatomical site of impaction was the nose (41%), followed by the oesophagus (20%), the stomach (14%) and bowel (11%). Other anatomical sites included hypopharynx, nasopharynx, bronchus, larynx and oral cavity. Severity of symptoms: Only 0.4% of our cases were assessed as being severe, 14% as moderate, and 44% as mild. Forty-two percent (42%) had no symptoms. Removal: Fifty-seven percent (57%) of ingested foreign bodies were removed surgically, 19% were left in situ, 14% spontaneously dislodged and only 1% was removed by Foley catheter manipulation.. A presentation with a foreign body is quite common in our patient population, representing approximately 4.2% of all our cases. The majority of ingested foreign bodies produced mild or no symptoms, needed surgical removal and had no complications.

Topics: Bronchi; Child; Child, Preschool; Esophagus; Female; Foreign Bodies; Humans; Hypopharynx; Infant; Infant, Newborn; Larynx; Male; Mouth; Nose; Severity of Illness Index; South Africa; Stomach

A case of a 52-year-old male presented with an unusual penetrating brain injury with nasal entry. At admission he had erythema of periorbital soft tissue in the left eye and epistaxis. His neurological condition was lethargic (Glasgow Coma Scale of 13) with nonfluent aphasia. Computed tomography scan revealed intracranial contusion hematoma in the left frontal lobe and fracture of the left frontal base, which were treated surgically. At the 6-month follow-up he still showed nonfluent aphasia. Disturbances, mostly cognitive, were noted on his psychological tests. A survey of the literature reveals a few cases of this nature in penetrating brain injury with nasal entry. A penetrating brain injury with nasal entry which causes nonfluent aphasia is discussing.

Topics: Aphasia; Brain Injuries; Cerebral Hemorrhage, Traumatic; Foreign Bodies; Frontal Lobe; Head Injuries, Penetrating; Humans; Male; Memory Disorders; Middle Aged; Nose; Personality Disorders; Skull Base

A case of attempted homicide is reported where a 31-year-old woman was shot in the left nostril with a pellet from an air rifle. The projectile channel reconstruction showed penetration of the nasal septum, the maxillary and sphenoid cavities and the dura mater, with the pellet finally lodging in the anterior cranial fossa between the sinus cavernosus and the internal carotid artery. The patient was finally discharged from hospital in a good physical condition without any neurological symptoms. Although the muzzle velocity of the air rifle was within the legal limits, the present case demonstrates the potential lethality of air weapons considering the site of entrance of the pellet.

Topics: Adult; Crime; Female; Firearms; Foreign Bodies; Forensic Medicine; Head Injuries, Penetrating; Humans; Nose; Tomography, X-Ray Computed; Wounds, Gunshot

Topics: Adult; Cooking and Eating Utensils; Foreign Bodies; Humans; Male; Nose; Tomography, X-Ray Computed; Wounds, Penetrating

A case of rhinolithiasis in Southeast Botswana was treated and after removal in hospital, the rhinolith was subjected to macroscopic and microscopic examination, X-ray diffraction analysis, electron microscope analysis and partial botanical analysis. The rhinolith consists of a strongly elliptical core of calcium stearate (C36H70CaO4.H2O), surrounded by approximately 30 elongated concentric growth rings, consisting of sodium-containing whitlockite (Ca18Mg2(Na,H)(PO4)14). The different layers have various degrees of porosity and red staining, probably due to traces of amorphous iron oxide. The origin of the rhinolith started with a piece of plant material, lodged in the nose, which was replaced by calcium stearate, leaving some remnants of resistant epidermal plant tissue. During subsequent years, thin layers of whitlockite were deposited periodically around the core with the reddish brown bands representing deposition during the dry season when atmospheric dust rich in amorphous iron oxide is at its highest in Botswana.

Topics: Aged; Aged, 80 and over; Calcium Phosphates; Calculi; Female; Foreign Bodies; Humans; Microscopy, Electron; Minerals; Nasal Obstruction; Nose; Nose Diseases; Stearic Acids; X-Ray Diffraction

Penetrating injury of the face and airway may make endotracheal intubation difficult or impossible. We report the case of a patient who attempted to commit suicide with a crossbow. Surgery under general anesthesia was required to remove the arrow. The oral intubation route was impossible, and a fiberoptic nasal intubation under local anesthesia was performed.. We report a case of a 42-yr-old patient who underwent surgery for a penetrating craniofacial injury caused by an arrow. Because of the median vertical trajectory of the arrow (from the chin to the frontal skull), only the right nasal approach was accessible for endotracheal intubation. Fiberoptic nasal intubation and securing the airway under local anesthesia are described.

Topics: Adult; Anesthesia, General; Anesthesia, Local; Cranial Sinuses; Foreign Bodies; Head Injuries, Penetrating; Humans; Intubation; Intubation, Intratracheal; Male; Nose

Children imitating adults often appear to indulge in harmless fun, however at times these activities have more serious implications. The recent fashion of body piercing among adults has encouraged children to have similar procedures or imitate them by applying small magnets to sustain the jewellery used in piercing in position. This paper describes a series of 24 cases presented to the Sheffield Children's Hospital over a period of eight weeks. The children imitated body piercing by using small powerful magnets across parts of their body including nose, ears, penis, and tongue. Some swallowed the magnets while attempting to use them, resulting in one near fatal surgical complication. The paper describes the details of the patients, the procedures used to detect the magnets, and the management of the different complications encountered.

Topics: Child; Emergency Treatment; Foreign Bodies; Humans; Magnetics; Male; Nose; Penis; Stomach

We describe a case of metallic nasal foreign body removal from a child with the aid of a permanent magnet. This is the first documented case of such a technique as far as we are aware. Magnets may prove invaluable in the removal of metallic nasal foreign bodies particularly in children and avoid the need for a general anaesthetic. A brief review of the use of magnets to remove foreign bodies is included.

Topics: Foreign Bodies; Humans; Infant; Magnetics; Nose

Nasal foreign bodies in children are often encountered in emergency medicine and many methods of removal exist. This study examines the nasal positive pressure technique, a method not previously described in the literature. A retrospective chart review of nasal foreign body removal using the nasal positive pressure technique was conducted, as well as, a follow-up telephone survey of patient's parents. Nine patients were identified over a 1-year period. The average time from triage to discharge was 34 minutes (15-106 minutes). No sedation, consultation or complications were recorded. Five of the 9 parents completed the survey. All 5 (100%) described the procedure less traumatic than an injection, and 4 (80%) described the procedure similar or less traumatic than an oral pharyngeal exam with a tongue depressor. Nasal positive pressure technique for nasal foreign body removal is a safe and efficient method, and it is relatively nontraumatic in the view of parents.

Topics: Child, Preschool; Emergency Service, Hospital; Female; Foreign Bodies; Humans; Male; Nose; Pressure; Retrospective Studies

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Infant; Male; Nose; Practice Guidelines as Topic; Treatment Outcome

Rigid fixation has been used over the past 20 years for the long-lasting correction of traumatic and congenital craniofacial defects. It has been noted that the use of plates and screws can result in the migration of the hardware through the skull to the inner cerebral cortex where it embeds in the dura. In addition, there is controversy concerning the safety of using titanium plates in the pediatric population. We report here on an 8-year-old boy who presented to our clinic with a chronic headache after rigid craniofacial fixation using titanium plates 7 years before.

Topics: Bone Plates; Bone Screws; Child; Chronic Disease; Craniosynostoses; Craniotomy; Dura Mater; Foreign Bodies; Foreign-Body Migration; Headache; Humans; Male; Nose

Topics: Child, Preschool; Emergency Treatment; Foreign Bodies; Humans; Nose; Parents

Topics: Anesthesia, Local; Child, Preschool; Foreign Bodies; Humans; Nose; Parents

Topics: Emergency Service, Hospital; Foreign Bodies; Humans; Nose

Topics: Burns; Child, Preschool; Dioctyl Sulfosuccinic Acid; Emergencies; Emergency Medicine; Female; Foreign Bodies; Humans; Infant; Male; Nose; Surface-Active Agents

Transnasal sphenoid sinus foreign body is a rare condition. We report a very rare case of transnasal bamboo foreign body lodged in the sphenoid sinus without damages to the orbital wall or skull base. A 69-year-old man fell down onto a bamboo stick, which snapped after penetrating his face through the right nostril. CT demonstrated that the bamboo stick stuck into the middle meatus, penetrated the ethmoid sinus just medial to the lamina papyracea and reached to the sphenoid sinus. No abnormal findings were detected in the orbit or skull base. The foreign body was removed from the nasal cavity without any complication. The endoscope was useful for evaluating possible injuries in the orbit and skull base and confirming the absence of residual foreign bodies.

Topics: Aged; Endoscopy; Foreign Bodies; Humans; Male; Nose; Plants; Sphenoid Sinus; Tomography, X-Ray Computed

Topics: Anesthetics, Local; Child; Ear; Foreign Bodies; Humans; Lidocaine; Nose

Transnasal esophagoscopy (TNE), a new diagnostic technology, allows comprehensive, in-office examination of the esophagus without sedation.. To report the authors' experience using TNE.. Retrospective review of 100 consecutive patients undergoing TNE.. The most frequent indications for TNE were screening examination of the esophagus in reflux, globus, and/or dysphagia patients (n = 79), biopsy of a lesion in the laryngopharynx, trachea, or esophagus (n = 8), screening examination of the esophagus in head and neck cancer patients (n = 5), tracheoscopy and bronchoscopy (n = 4), and evaluation for an esophageal foreign body (n = 2). Four procedures were aborted secondary to a tight nasal vault. Significant findings were found in 44% (42/96). The most frequent findings were esophagitis (n = 19), Barrett's (n = 6), hiatal hernia (n = 4), and carcinoma (n = 5).. TNE is safe and well tolerated by patients with topical anesthesia alone. TNE may replace radiographic imaging of the esophagus in otolaryngology patients with reflux, globus, and dysphagia.

Topics: Anesthesia, Local; Biopsy; Conscious Sedation; Deglutition Disorders; Dilatation; Epistaxis; Equipment Design; Esophageal Diseases; Esophagitis, Peptic; Esophagoscopes; Esophagoscopy; Esophagus; Foreign Bodies; Head and Neck Neoplasms; Hernia, Hiatal; Humans; Mass Screening; Nose; Office Visits; Patient Selection; Retrospective Studies; Safety; Treatment Outcome

The results of a prospective study of 94 patients with history of ear, nose or aerodigestive tract foreign bodies were analysed. Sixty six to 94% of patients presented within 24 hours to a primary care doctor, 80 to 94% was referred to the ENT Department within 24 hours and 89 to 93% of patients had their foreign bodies removed within 24 hours. Overall, 58% of aural foreign bodies, 67% nasal foreign bodies and 94% of aerodigestive tract foreign bodies were removed within 48 hours of insertion. As a result of the prompt removal of foreign bodies in the majority of patients, no significant complications occurred. Foreign bodies in the aerodigestive tract tend to present earlier and more promptly removed compared with ear and nose foreign bodies. There was a significantly higher proportion of foreign body in the right ear and nostril compared to the left.

Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Ear; Female; Foreign Bodies; Hospitals, University; Humans; Malaysia; Male; Middle Aged; Nose; Outpatient Clinics, Hospital; Pharynx; Prospective Studies

Topics: Anesthesia, Local; Child; Emergency Treatment; Female; Foreign Bodies; Humans; Magnetics; Nose; Radiography

Topics: Child, Preschool; Diagnosis, Differential; Electric Power Supplies; Emergency Service, Hospital; Female; Foreign Bodies; Foreign-Body Reaction; Humans; Nose; Radiography

We describe the case of a woman who presented with an open safety pin lodged in her left nostril. An attempt to remove the pin with the patient under local anesthesia was not successful. Removal was eventually accomplished in the operating room with the patient under general anesthesia.

Topics: Adult; Endoscopy; Ethmoid Sinus; Female; Foreign Bodies; Humans; Nose; Otorhinolaryngologic Surgical Procedures; Radiography; Treatment Outcome

Nasal foreign bodies are seen commonly both in the office and pediatric emergency department setting. There have been a number of strategies described for their removal. We describe the "nasal wash" as a technique for nasal foreign body removal in the following three case reports. The "nasal wash" has been used in many pediatric vaccine studies as a method to collect mucus and relies on simple equipment readily available in the office setting.

Topics: Animals; Child; Emergency Medicine; Female; Foreign Bodies; Humans; Infant; Male; Nose; Pediatrics; Sodium Chloride; Syringes; Therapeutic Irrigation

Topics: Anesthesia, Local; Ear; Emergency Service, Hospital; Foreign Bodies; Humans; Nose; Therapeutic Irrigation

Topics: Foreign Bodies; Humans; Magnetics; Nasal Mucosa; Nasal Septum; Necrosis; Nose

Topics: Adult; Anesthesia, General; Cosmetic Techniques; Female; Foreign Bodies; Humans; Nose; Punctures; Tooth Extraction

We present a previously undescribed event where an inhaled foreign body was propelled into the post-nasal space by the Heimlich manoeuvre. We present figures showing a drop in the mortality following inhaled foreign bodies since the introduction of the Heimlich manoeuvre.

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Inhalation; Nose; Treatment Outcome

In two boys aged 4.5 and 1.5 years with halitosis a nasal foreign body was found. After removal the foetor disappeared. Little is known about the epidemiology of halitosis in children. Apart from specific odours with certain systemic disorders, local pathology such as chronic sinusitis, upper and lower respiratory tract infections and to a lesser degree gastrointestinal disorders may be the cause of the offensive smell. As in adults, bad breath in children is usually related to poor oral hygiene or disease of the oral cavity. The first-line treatment is proper oral hygiene and if necessary dental sanitization. In resistant cases further evaluation should be aimed at disclosing the causative pathology, in which case in children the possibility of a nasal foreign body should also be considered.

Topics: Child, Preschool; Foreign Bodies; Foreign-Body Reaction; Halitosis; Humans; Infant; Male; Nose

Topics: Child; Foreign Bodies; Humans; Nose; Sodium Chloride; Therapeutic Irrigation

We report a 76-year-old man referred because of incessant epistaxis. During presurgical investigation a radiodense mass was detected in the left nasal cavity, which turned out to be an iodoform-soaked gauze pack put in by a general practitioner some weeks previously and simply forgotten.

Topics: Aged; Foreign Bodies; Humans; Male; Nose; Radiography

Nasal foreign bodies are a common problem in children. Various techniques have been described for removing the offending articles. Positive pressure techniques have long been described, and have many potential advantages, but are not yet in widespread use. The aim of this study was to evaluate the efficacy, safety and acceptability of a technique of mouth-to-mouth blowing. Of 19 children with intranasal foreign bodies, the technique was successful in 15 (79 per cent). The procedure caused little or no distress to the child, and no complications were encountered. All parents found the technique acceptable. This technique for nasal foreign body removal is, as far as we are aware, the first to be subjected to any prospective evaluation of effectiveness. We suggest that it should be used as the first line management for removing nasal foreign bodies in young children.

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Infant; Male; Nasal Obstruction; Nose; Parents; Patient Satisfaction; Pressure; Prospective Studies; Treatment Outcome

Topics: Evidence-Based Medicine; Family Practice; Foreign Bodies; Humans; Military Medicine; Nose; Problem Solving

The federal government has recently acknowledged that more highly skilled GPs would reduce the health bill by decreasing the level of specialist referral.. Practical procedures should form part of every day practice, however, gaining skills and the practical tips that make procedures easier can be difficult. This article describes the skills required for the removal of foreign bodies from children.. The retrieval of foreign bodies from children requires patience, preparation and confidence. Plan your approach carefully and take your time as you may only have one chance at grasping the object before the child becomes uncooperative.

Topics: Child; Child, Preschool; Clinical Competence; Ear; Family Practice; Female; Foreign Bodies; Humans; Mouth; Nose; Psychology, Child; Referral and Consultation; Vagina

Topics: Adult; Automobiles; Brain Injuries; Craniotomy; Eye Evisceration; Eye Injuries, Penetrating; Foreign Bodies; Humans; Male; Nose; Skull Fractures; South Africa; Tomography, X-Ray Computed

Topics: Cerebrospinal Fluid Shunts; Child; Diagnosis, Differential; Female; Foreign Bodies; Headache; Humans; Hydrocephalus; Magnetic Resonance Imaging; Nose; Radiography

A total of 47 consecutive patients with paraffinoma of the nose underwent surgery for paraffinoma removal and insertion of temporoparietal fascia-covered Silastic implants between January of 1990 and June of 1996. There are several advantages to our procedure, and we obtained satisfactory outcomes with it. A bilateral alar rim incision was sufficient for our procedure. The Silastic implant could be sculptured easily, was not absorbed, and produced excellent cosmetic results. The fascia was highly bioadaptable and survived beneath the dermis through revascularization, even in the places where the paraffin material remained. The fascia reinforced the thinned skin that resulted after paraffinoma removal and, therefore, prevented exposure of the Silastic implant. The telangiectasia of paraffinoma of the nose improved in some patients after surgery.

Topics: Adult; Dimethylpolysiloxanes; Fascia; Foreign Bodies; Humans; Nose; Prostheses and Implants; Prosthesis Implantation; Rhinoplasty; Silicones

We present a case where the use of magnetically held earring clips in the nose led to an unfortunate series of events resulting in perforation of the nasal septum.

Topics: Accidents; Adult; Foreign Bodies; Humans; Magnetics; Male; Nasal Septum; Nose; Radiography

Topics: Diagnosis, Differential; Foreign Bodies; Humans; Nose; Rhinitis; Rhinitis, Atrophic

Between 1994 and 1997, a total of 72 nasal foreign bodies were removed from 68 children (28 girls and 40 boys, including 2 repeats) in the ENT Department at Robert Debré Hospital, Paris. Ages ranged from 1 to 12.5 years (median, 3 years). Two children had bilateral foreign bodies. The unilateral foreign bodies were on the right side in 67.6% of cases. The most frequent objects were plastic objects, beads, paper, cotton and foam. Insertion was witnessed by an adult or reported by the child himself in the majority of cases. The other cases were diagnosed when complications occurred (as seen by persistent rhinorrhea and a foul body odor). All foreign bodies were removed in the consultation room using a hook or nasal forceps.

Topics: Child; Child, Preschool; Female; Foreign Bodies; Humans; Infant; Male; Nose

Topics: Adult; Diagnosis, Differential; Disease-Free Survival; Esophagoscopy; Female; Foreign Bodies; Humans; Nasal Polyps; Nasopharyngeal Diseases; Nose; Stethoscopes

Topics: Child; Female; Foreign Bodies; Humans; Magnetics; Nose

Topics: Accidents, Occupational; Adult; Construction Materials; Foreign Bodies; Humans; Male; Maxillary Sinus; Nose; Tomography, X-Ray Computed

Topics: Child; Foreign Bodies; Humans; Nose

Films used in orthodontics such as lateral cephalograms and orthopantomograms provide excellent visualisation of the maxillary sinuses and the nose, and therefore should be routinely examined for pathology and foreign bodies. We report a case of a long-standing asymptomatic nasal foreign body detected on routine orthodontic films.

Topics: Adolescent; Cuspid; Female; Foreign Bodies; Humans; Maxilla; Nose; Radiography, Panoramic; Tomography, X-Ray Computed; Tooth Eruption; Tooth, Deciduous; Tooth, Impacted

Personal clinical observations during the recent years allow the authors to confirm the indisputable value of surgical experience got during the Great Patriotic War (1941-1945) and in particular, the "fourfold" scheme proposed by V. I. Voiachek for the diagnosis and treatment of blind gunshot wounds to the skull base. Computed tomography considerably increases the probability of detection of the exact localization of foreign bodies in complex anatomical structures of the skull and thus facilitates choosing the most rational surgical management. The use of the electro-optical transducer for the extraction of foreign bodies from almost inaccessible areas of the skull base decreases the risk of operation.

Topics: Adult; Foreign Bodies; Humans; Larynx; Male; Middle Aged; Military Personnel; Nose; Pharynx; Radiography; Russia; Skull Base; Wounds, Gunshot

16 cases of rhinoliths were registered in the ENT clinic for 12 years. The patients were aged 12 to 63 years (4 males and 12 females). Solitary rhinoliths occurred in 14, multiple ones in 2 patients. Four groups of rhinoliths are distinguished basing on the time of the rhinolith occurrence in the nose after occasional introduction of the foreign body, rhinolith weight, size, negative effects on the adjacent tissues and organs.

Topics: Adolescent; Adult; Calculi; Child; Diagnosis, Differential; Female; Foreign Bodies; Humans; Male; Middle Aged; Nose; Nose Diseases; Time Factors

The removal of foreign bodies in children is very common in the otolaryngologist's daily routine. We present a prospective series of 187 cases of ear and nose foreign bodies removed from children aged 0-12 years old in a 6-month period--95 females (50.8%) and 92 males (49.2%); 78 children (41.71%) aged from 1 to 2 years, 66 (35.29%) from 3 to 5 years. There were 93 cases (49.73%) of ear foreign bodies, in which a bean was the most common (24.73%), and 94 cases (50.27%) of nose foreign bodies, in which sponge fragments predominated (36.17%). In 82 cases (45.85%), the removal was performed within the first 24 h after the foreign body insertion, and 86 (45.98%) of the patients had previous attempts to remove it. Thirteen cases with complications (external ear canal lacerations, tympanic membrane perforation) were observed in patients in whom these previous attempts had been made, but there were no sequelae. This corresponds to one of the largest reports of ear and nose foreign body removal in children in the literature; we conclude that younger children are more prone to insert foreign bodies, which are objects usually found at home. Complications may occur as a result of attempts to remove the foreign body without the help of specialised personnel or proper conditions.

Topics: Child; Child, Preschool; Ear; Female; Foreign Bodies; Humans; Infant; Male; Nose; Prospective Studies; Time Factors

Nasal foreign bodies requiring removal occur commonly in young children. Different techniques of removal are needed depending on the type of nasal foreign body. A retrospective chart review of a 19-month period identified 60 pediatric patients with nasal foreign bodies evaluated in a pediatric emergency department. Twenty-four different types of foreign bodies were removed; beads, rocks and plastic toys were the most common. Numerous removal techniques were used; forceps and Foley catheter techniques were the most common. Most foreign bodies can be managed with simple equipment and without requiring otolaryngology consultation. Because of the many different nasal foreign bodies found, the physician should be skilled in numerous techniques of removal. Each one of these useful techniques is reviewed.

Topics: Catheterization; Child; Child, Preschool; Emergencies; Foreign Bodies; Humans; Infant; Nose; Retrospective Studies

Topics: Child, Preschool; Emergencies; Female; Foreign Bodies; Humans; Insufflation; Nose; Pediatrics

Topics: Child; Foreign Bodies; Humans; Nose; Sneezing

We report a case of a 13-year-old boy who inserted a 5 cm nail into his nose. X-ray showed it in the post-nasal space and it was removed through the mouth.

Topics: Adolescent; Foreign Bodies; Humans; Male; Nose; Radiography

Topics: Adult; Foreign Bodies; Humans; Male; Maxillary Sinus; Nasopharynx; Nose; Palatine Tonsil; Radiography

Topics: Child; Foreign Bodies; Humans; Nose

Topics: Adult; Female; Foreign Bodies; Humans; Nose

Topics: Child; Child, Preschool; Foreign Bodies; Humans; Nose; Pressure

This report describes an unusual nasal foreign body in a 4-year-old boy discovered incidentally in a routine dental radiograph. A small piece of rubber eraser was lodged in the right nasal cavity, causing unilateral nasal obstruction and discharge, sneezing, snoring and breathing difficulty. In this case, discovery of unknown intranasal object was diagnostic for a condition suspected of pathological origin. Dentists may play a significant role in the diagnosis of intranasal foreign objects in children, through careful clinical examination and interpretation of dental radiographs. Early diagnosis is emphasized in order to avoid complications.

Topics: Child, Preschool; Foreign Bodies; Household Articles; Humans; Male; Nasal Obstruction; Nose; Radiography, Dental

The nose is perhaps the most common site for the insertion of foreign bodies by children. Removal is essential. We report the successful use of the oral Ambu-bag insufflation technique to remove unilateral nasal foreign bodies in three children. Conscious sedation was not required. There were no complications.

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Infant; Insufflation; Male; Mouth; Nose; Posture; Respiration, Artificial

This study investigates the pattern of pediatric nasal foreign body impaction and its management in a metropolitan area. Data was obtained from 147 children presenting to the Accident and Emergency Department over a 4-year period. The majority of foreign bodies were toys and household products. Complications which occurred, such as ingestion of the foreign body or epistaxis were usually related to attempts at removal. Fourteen cases of local complications resulted from button battery impaction. Most of these patients can successfully be managed without complication if correct procedures are adopted.

Topics: Child, Preschool; Emergency Service, Hospital; Female; Foreign Bodies; Hong Kong; Humans; Male; Nose

Foreign bodies in the noses of children may often be expelled by simple nose blowing. Success of this manoeuvre depends on how firmly the object is lodged, and on the co-operation and skill of the child. Attempts at direct removal using instruments frequently result in the patient becoming distressed and resort to general anaesthesia is sometimes required. This short communication describes a series of cases in which nebulized adrenaline helped loosen firmly impacted foreign bodies, thereby facilitating removal, minimizing upset for the child, and avoiding anaesthetic risk.

Topics: Child, Preschool; Epinephrine; Female; Foreign Bodies; Humans; Male; Nebulizers and Vaporizers; Nose

Topics: Foreign Bodies; Humans; Nose

A case of chronic facial pain and headache is presented. This was found to be due to two pieces of windscreen-glass lodged in the superior meatus of the patient's nose since a road-traffic-accident 14 years earlier. Despite being reported as normal, review of previous X-rays of her sinuses showed that the glass was visible. The importance of carefully assessing the intranasal area on sinus-views is illustrated.

Topics: Accidents, Traffic; Adult; Chronic Disease; Facial Pain; Female; Foreign Bodies; Glass; Humans; Nose; Radiography; Time Factors

We report an unusual injury of the face caused by the spoke of an automatic telescoping umbrella that come loose when the umbrella was opened. Due to the shot-like force of the spoke, the left nostril, septum and right wall of the nasal cavity were pierced. The part with the joint penetrated into the maxillary antrum. In order to remove the spoke, wire scissors had to be used to cuff off the spoke's joint inside the surgically opened maxillary sinus.

Topics: Female; Foreign Bodies; Humans; Maxillary Sinus; Middle Aged; Nose; Radiography; Surgical Instruments; Wounds, Penetrating

Topics: Adult; Child, Preschool; Foreign Bodies; Halitosis; Humans; Nose; Psychophysiologic Disorders; Rhinitis; Sinusitis

Topics: Child; Emergency Medical Services; Foreign Bodies; Humans; Nose; Positive-Pressure Respiration

Topics: Cardiopulmonary Resuscitation; Child; Foreign Bodies; Humans; Nose; Parents

Emergencies are frequent in the everyday ENT outpatient clinic. From a great variety of emergencies only the most frequent ones were outlined, such as epistaxis, acute unilateral deafness, injuries of the tympanic membrane, foreign bodies events and acute external otitis. The clinics, etiology and therapy are discussed in order to help the general practitioner to cope with emergencies in the ENT field.

Topics: Adult; Child; Child, Preschool; Ear Canal; Emergencies; Foreign Bodies; Humans; Infant; Nose; Otitis Externa; Otorhinolaryngologic Diseases; Respiratory System

Topics: Child, Preschool; Diagnosis, Differential; Foreign Bodies; Foreign-Body Reaction; Humans; Male; Nose

Topics: Adolescent; Finger Injuries; Foreign Bodies; Fractures, Bone; Humans; Male; Metacarpophalangeal Joint; Nose; Radiography; Wound Infection

A child presenting with fever, unilateral nasal discharge and sinusitis was found to have an alkaline disk button battery in the right nostril causing severe mucosal damage and septal perforation. The case is presented and mechanisms of injury discussed.

Topics: Child, Preschool; Foreign Bodies; Humans; Male; Nasal Mucosa; Nasal Septum; Necrosis; Nose; Radiography

We present two rare, but similar, cases of button batteries in the nose in male children of Caucasian origin. The importance of early diagnosis, treatment and the long-term morbidity of such a foreign body in the nose are discussed.

Topics: Child; Foreign Bodies; Humans; Male; Nasal Septum; Nose; Radiography

Two cases of foreign body removal using cyanoacrylate (Histoacryl blue, B. Braun Australia Pty. Ltd., Sydney, NSW) or tissue glue are described. Both cases involved children with beads, one in the external auditory meatus and the other in the nostril. The benefits of this technique are discussed.

Topics: Adolescent; Child, Preschool; Cyanoacrylates; Ear Canal; Female; Foreign Bodies; Humans; Male; Nose

Foreign bodies sitting in the E.N.T.-area are the most urgencies needing immediate attention by the specialist. The AA. study the 738 cases admitted at their Department, for correlative consultations, in one year-term, because of suspicion of accidental lodgements. They arrange the whole lot in 5 not specific localizations, with the aim of consider the peculiarities of each group. In the great deal of instances the patients were worried for oropharyngeal penetration, followed by a lower number complaining of oesophageal distress. Considerations regarding the usefulness of ancillary exploratory techniques, specially the Radiology.

Topics: Adolescent; Adult; Aged; Bronchi; Child; Child, Preschool; Ear; Esophagus; Female; Foreign Bodies; Hospitals, General; Humans; Infant; Infant, Newborn; Male; Middle Aged; Nose; Oropharynx; Sex Factors; Spain; Trachea

Topics: Adenoids; Foreign Bodies; Humans; Nasal Obstruction; Nasal Polyps; Nasal Septum; Nose; Nose Neoplasms; Otitis Media; Patient Education as Topic; Rhinitis; Sleep Deprivation; Tooth Abnormalities

Among the foreign bodies most often found in children's nostrils are hair, beads, toy parts, paper wads, and food. Sometimes extraction of nasal foreign bodies can be difficult, especially if they are spherical. The classical presentation is a unilateral, persistent, foul-smelling, purulent, or bloody nasal discharge. Ulceration, dislodgement of the foreign body into the nasopharynx, and aspiration of the foreign body can complicate the problem.

Topics: Child, Preschool; Foreign Bodies; Humans; Infant; Nose

Topics: Adult; Child; Ear Canal; Electric Power Supplies; Foreign Bodies; Humans; Male; Nose

Topics: Child, Preschool; Foreign Bodies; Humans; Nose; Pediatrics; Respiration, Artificial

Foreign bodies in the nose are commonly encountered in ORL practice. Miniature button battery impaction in the nose has rarely been reported. Seven such cases have been encountered, each suffering complications directly attributable to the button battery. The complications included septal burns in five patients leading to septal perforation in one child, one case of severe nasal bleeding and one case of necrosis of the lateral nasal wall. The site of maximal damage corresponded with the negative pole of the battery in every case. The possible explanation for this and mechanisms of cellular injury are proposed. This paper underlines the potential hazards of button batteries as foreign bodies in the nose and emphasizes the need for rapid removal and long-term follow-up of these patients.

Topics: Child, Preschool; Electric Power Supplies; Female; Foreign Bodies; Humans; Male; Nasal Septum; Nose; Nose Diseases; Turbinates; Ulcer

To determine the risk of increased blood lead levels in children with aural, nasal, or gastrointestinal foreign bodies, the authors prospectively obtained venous blood lead and erythrocyte protoporphyrin levels from 40 study patients and two control groups without foreign bodies (65 patients presenting to a medical clinic and 40 patients presenting to an emergency department). A questionnaire was used to assess environmental and behavioral risk factors for lead poisoning in the three groups. Mean blood lead level was higher in children with foreign bodies (P less than .001), and they were more likely to have a venous blood lead value of more than 1.2 mumol/L (25 micrograms/dL, P less than .01) than patients in either control group. Seventy-eight percent of study patients had no prior lead screening by parent's report vs 64% of emergency department control subjects and 55% of medical clinic control subjects. Control patients in the emergency department had the same incidence of elevated blood lead values as patients enrolled from the medical clinic (6%). No differences in environmental risk factors were found among the three groups. Study patients more often had a history of pica or ingestion of a poison than control patients from the medical clinic. Inner-city children with foreign bodies have increased lead exposure and may have an increased risk for lead poisoning. In areas of high prevalence of lead poisoning, children with foreign bodies should be screened for lead poisoning in the emergency department. General lead screening in the emergency department may be justified for high-risk, inner-city populations.

Topics: Child, Preschool; Digestive System; Ear; Erythrocytes; Female; Foreign Bodies; Housing; Humans; Lead; Lead Poisoning; Male; Nose; Pica; Prevalence; Prospective Studies; Protoporphyrins; Risk Factors

Topics: Adult; Burns, Chemical; Foreign Bodies; Humans; Male; Nose

Three cases of rhinolithiasis are presented in which the diagnosis was facilitated by rigid endoscopic nasal examination. Coronal CT scans were used to delineate accurately the size and site of the rhinoliths. Neutron activation analysis was used in their elemental analysis.

Topics: Adult; Calculi; Endoscopes; Endoscopy; Foreign Bodies; Humans; Male; Nasal Cavity; Neutron Activation Analysis; Nose; Spectrophotometry; Tomography, X-Ray Computed

An unusual case of oronasal foreign body in a child is reported. A plain lateral X-ray of the head was carried out to show the shape and position of the foreign body; it was also useful in planning removal. Ribbon gauze impregnated with vaseline was packed around the sharp end of the metal in the nostril to protect the nasal mucosa from further trauma while removing it. We recommend this technique.

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Mouth; Nose; Radiography

Topics: Child; Female; Foreign Bodies; Humans; Incisor; Nose; Radiography, Panoramic; Tooth, Deciduous; Tooth, Unerupted

Topics: Child; Foreign Bodies; Humans; Male; Nose; Odorants; Sweat

Topics: Child, Preschool; Foreign Bodies; Humans; Male; Nose; Proteus mirabilis

A case of incorrect diagnosis of extensive nasal cavity, maxillary sinus and nasopharynx neoplasm was presented. The imitation of tumor symptoms was due by long lying in nasal cavity foreign body, inflammation of maxillary sinus and adenoiditis. The author underline that over hasty neoplasm diagnosis always exerts an unjustified and destructive psychologic influence on patient and his family.

Topics: Diagnosis, Differential; Female; Foreign Bodies; Humans; Infant; Nose; Nose Neoplasms; Paranasal Sinus Neoplasms

The present case involves an intranasal foreign body that was discovered five months after conservative therapy of a myocardial infarction. In such cases, oxygen tubes are fixed by plastic blocks which can accidentally become lodged in the nose. In this case, an elderly patient was suspected of having a carcinoma of the inner nose.

Topics: Aged; Diagnosis, Differential; Female; Foreign Bodies; Foreign-Body Reaction; Humans; Iatrogenic Disease; Intubation; Nose; Oxygen Inhalation Therapy

Topics: Child; Ear, External; Emergencies; Eye Foreign Bodies; Foreign Bodies; Humans; Nose

The incidence of foreign bodies in ears, nose and throat is quite high in Jos Community of Nigeria, 411 cases having been observed over a period of three years. These occurred most frequently in the ears, while the oesophagus was the second commonest site. The foreign bodies were removed in the outpatient or the casualty department in 270 cases (66.7%) while the remaining 141 cases had to be admitted to hospital.

Topics: Adult; Child; Ear; Foreign Bodies; Humans; Nigeria; Nose; Pharynx

A method of treating the "steakhouse syndrome" (esophageal obstruction due to meat impaction), employing air insufflation via a nasoesophageal tube with esophageal hypotonia, is described as applied in one patient. The technique is a modification of tube esophagography and can be attempted when the combination of an effervescent agent and a hypotonic drug has been unsuccessful.

Topics: Aged; Catheterization, Peripheral; Esophageal Stenosis; Esophagus; Foreign Bodies; Glucagon; Humans; Insufflation; Intubation; Male; Meat; Nose; Posture; Radiography

Topics: Ear; Emergencies; Foreign Bodies; Humans; Methods; Nose; Pharynx

Topics: Child; Child, Preschool; Ear; Emergencies; Eye Foreign Bodies; Foreign Bodies; Humans; Nose; Restraint, Physical

A case of long standing halitosis due to a nasal foreign body is described, and the causes of halitosis are reviewed.

Topics: Child; Female; Foreign Bodies; Halitosis; Household Articles; Humans; Nose; Radiography

Topics: Ear, External; Foreign Bodies; Humans; Nose

Topics: Child, Preschool; Foreign Bodies; Humans; Male; Methods; Nose

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Nose

We describe a child who had a button battery lodged in her nose for several weeks, with resulting destruction of her nasal septum. A brief review of the pathophysiology of injury due to button batteries and measures to prevent such injuries from occurring are discussed.

Topics: Child, Preschool; Emergencies; Female; Foreign Bodies; Humans; Nasal Septum; Nose; Radiography

Topics: Child; Foreign Bodies; Humans; Nose; Surgical Instruments

Topics: Adolescent; Adult; Aged; Child; Female; Foreign Bodies; Humans; Nose; Punctures

Topics: Adolescent; Foreign Bodies; Humans; Male; Nose

Topics: Foreign Bodies; Humans; Nose; Suction

Topics: Child, Preschool; Epistaxis; Foreign Bodies; Humans; Male; Nose; Radiography

Topics: Equipment Safety; Female; Foreign Bodies; Humans; Intubation, Intratracheal; Middle Aged; Nose

The epidemiology and management aspects of 212 consecutive cases of foreign bodies of the ears and nose in children presenting to an urban pediatric walk-in and emergency care facility were retrospectively reviewed. The items most commonly removed from children's external auditory canals were roaches, paper wads, toy parts, earring parts, hair beads, eraser tips, and food. Foreign bodies most often found in the nose included hair beads, toy parts, paper wads, and food. Approximately 90% of all foreign bodies were able to be removed without significant complications by emergency department personnel with simple equipment. Those who required referral for otorhinolaryngologic intervention had more often failed at self or parental home foreign body removal attempts than those who were able to managed successfully by emergency department personnel. Parents should be cautioned against attempting to remove objects not readily visible or not capable of being grasped easily.

Topics: Adolescent; Ambulatory Care; Child; Child, Preschool; Ear; Emergency Service, Hospital; Foreign Bodies; Hospitals, Pediatric; Humans; Nose

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Nose; Odorants

Topics: Airway Obstruction; Child; Ear; Emergencies; Epistaxis; Foreign Bodies; Humans; Nose; Tracheostomy

Topics: Alcoholic Beverages; Cooking and Eating Utensils; Foreign Bodies; Humans; Male; Nose

Topics: Disease Outbreaks; England; Female; Foreign Bodies; Humans; Legionnaires' Disease; Nose

Topics: Adult; Calculi; Female; Foreign Bodies; Humans; Nose; Nose Diseases; Radiography

This article discusses the diagnosis and management of acute and chronic diseases of the nasal cavity and sinuses. Also discussed are the anatomy of the upper respiratory tract, guidelines for obtaining a thorough history and performing a complete physical examination, and various diagnostic procedures, such as rhinoscopy, culture, and serology.

Topics: Animals; Cat Diseases; Cats; Cryptococcosis; Dog Diseases; Dogs; Foreign Bodies; Mycoses; Nasopharyngeal Neoplasms; Nose; Nose Diseases; Nose Neoplasms; Paranasal Sinus Diseases; Paranasal Sinus Neoplasms; Polyps; Rhinitis; Sinusitis

A rhinolith present for 77 years and weighing 18 g. is reported. Special emphasis is given to the problems of establishing the diagnosis of nasal calculi and foreign bodies. Furthermore, the study discusses the mineralogy of the rhinolith on the basis of the results yielded by the electron-ray micro-probe, x-ray diffractometry and infrared-spectroscopy with respect to the mineral Whitlockite.

Topics: Aged; Calcium; Calcium Phosphates; Calculi; Electron Probe Microanalysis; Female; Foreign Bodies; Humans; Nasal Mucosa; Nose; Nose Diseases; Spectrophotometry, Infrared; X-Ray Diffraction

Topics: Aged; Dermatitis; Female; Foreign Bodies; Humans; Nose; Sutures

A clinical study has revealed that irritation caused by pre-existing diseases of the ear (e.g. chronic otitis externa, wax with chronic otitis externa, C.S.O.M. with otitis externa or the presence of wax in the meatus) and by those of the nose (e.g. acute or chronic rhinitis, chronic vestibulitis or the presence of dried, thick sticky mucus in the vestibule of the nose in the resolving stage of a common cold) are the major aetiological factor in foreign bodies in the ear and nose. Boredom, curiosity, whims to explore the natural cavities of the body, habit, acts of imitation, fun-making and mental retardation are only minor aetiological factors.

Topics: Boredom; Cerumen; Child; Child, Preschool; Ear, External; Female; Foreign Bodies; Humans; Infant; Male; Nose; Otitis Externa; Rhinitis

Topics: Child; Child, Preschool; Foreign Bodies; Halitosis; Humans; Male; Nose

Topics: Ear; Foreign Bodies; Humans; Nose; Suction

Topics: Adult; Airway Obstruction; Child; Ear; Endoscopy; Esophagus; Foreign Bodies; Humans; Larynx; Nose; Pharynx; Radiography

Early signals of pathologic causes of nasal obstruction in childhood may pass unnoticed by the unsuspecting physician because these signals mimic innocuous problems such as the common cold, sinusitis, and allergic rhinitis. The hope for early recognition of the more serious causes of nasal obstruction in children depends upon a high degree of suspicion. Some of the common and uncommon causes of nasal obstruction are enumerated by categorizing the possible etiologies into congenital, traumatic, iatrogenic, inflammatory, and neoplastic classifications. With a systematic approach that utilizes history, physical examination, and special diagnostic studies, misdiagnosis can be avoided and treatment initiated more rapidly and effectively.

Topics: Airway Obstruction; Child; Cysts; Encephalocele; Foreign Bodies; Humans; Nasopharyngeal Diseases; Nose; Nose Diseases; Nose Neoplasms; Rhinitis

Topics: Child; Dermoid Cyst; Encephalocele; Foreign Bodies; Glioma; Histiocytoma, Benign Fibrous; Humans; Nasal Polyps; Nasopharyngeal Neoplasms; Nose; Nose Neoplasms

Topics: Ear; Esophagus; Foreign Bodies; Humans; Nose; Palatine Tonsil; Respiratory System; Wounds and Injuries

Topics: Child, Preschool; Cranial Nerve Diseases; Craniocerebral Trauma; Female; Foreign Bodies; Humans; Nose; Tetanus

Topics: Child, Preschool; Electric Power Supplies; Foreign Bodies; Humans; Male; Nose

The removal, without incident, of 14 nasal foreign bodies is described. None of the bodies was amenable to anterior instrumental extraction, and all were removed using a small-diameter Fogarty catheter.

Topics: Catheterization; Child, Preschool; Emergencies; Foreign Bodies; Humans; Nose

Soft tissue intranasal foreign bodies usually present as a well-defined syndrome in children 1 1/2 to 3 years of age who develop a chronic unilateral, purulent, fetid, unexplained rhinorrhea because the foreign material is not discovered in the nose on routine examination. Four cases are presented to document for the first time the anatomic location of soft tissue intranasal foreign bodies which become lodged in the anterior-superior aspect of the nasal cavity between the anterior edge of the middle turbinate and the bridge of the nose. No recurrence has been noted following removal of this material with the hemostat advanced superiorly inside the anterior border of the nose. One case with persistent rhinorrhea developed pneumonia and generalized body odor.

Topics: Female; Foreign Bodies; Humans; Infant; Middle Aged; Nose; Odorants; Paper

Topics: Age Factors; Child; Child, Preschool; Diagnosis, Differential; Female; Foreign Bodies; Halitosis; Humans; Male; Nose; Odorants

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Infant; Male; Nose; Odorants; Sweat

Topics: Female; Foreign Bodies; Halitosis; Humans; Nose; Odorants; Sweat

Topics: Child; Foreign Bodies; Humans; Nose; Odorants; Sweat

Topics: Child; Child, Preschool; Foreign Bodies; Humans; Male; Nose; Skull

Topics: Child, Preschool; Foreign Bodies; Humans; Male; Nose; Odorants

Foreign bodies in ear, nose and throat orifices should not be hastily removed. Inaction is the order of the day, with the exception of the larynx and trachea which have to be rapidly assessed, and the FB removed as a life saving procedure.

Topics: Ear; Esophagus; Foreign Bodies; Humans; Mouth; Nose; Trachea

Topics: Airway Obstruction; Ear Canal; Endoscopes; Esophagus; Foreign Bodies; Humans; Inhalation; Larynx; Nose; Surgical Instruments

Topics: Foreign Bodies; Humans; Infant; Male; Mouth Diseases; Nose; Palate

Topics: Adult; Cerumen; Child; Child, Preschool; Ear, External; Foreign Bodies; Furunculosis; Gossypium; Humans; Infant; Inflammation; Male; Nose; Nose Diseases; Otitis Externa

Topics: Adult; Bronchi; Child; Foreign Bodies; Humans; Nose; Trachea

Topics: Bronchi; Child; Foreign Bodies; Humans; Male; Nasal Cavity; Nose; Rhinitis

Topics: Adult; Craniocerebral Trauma; Emergencies; Epistaxis; Eye Injuries; Facial Injuries; Female; Foreign Bodies; Humans; Larynx; Male; Nasopharynx; Neck Injuries; Nose; Nose Deformities, Acquired; Paranasal Sinuses; Skull Fractures; Tongue; Trachea

In the second article on pediatric otolaryngology, speed of diagnosis is stressed as vital to prevent permanent aftereffects such as deafness or facial paralysis. Aggressive education of parents in preventing emergencies is recommended.

Topics: Acids; Child; Ear; Emergencies; Esophagus; Facial Bones; Facial Injuries; Foreign Bodies; Fractures, Bone; Humans; Larynx; Lye; Nasopharynx; Nose; Otitis Media; Otorhinolaryngologic Diseases; Respiratory System; Temporal Bone

Topics: Aged; Foreign Bodies; Humans; Male; Maxillary Sinus; Nasal Cavity; Nasal Polyps; Nose; Time Factors

Topics: Child, Preschool; Female; Foreign Bodies; Humans; Male; Nose; Palate

Topics: Adolescent; Chronic Disease; Foreign Bodies; Granuloma; Humans; Male; Nose; Nose Diseases

Topics: Acute Disease; Child, Preschool; Epiglottis; Female; Foreign Bodies; Humans; Laryngitis; Nose

Topics: Accidents, Home; Child, Preschool; Female; Foreign Bodies; Humans; Nose

Topics: Child, Preschool; Ear Canal; Foreign Bodies; Humans; Infant; Methods; Nasal Cavity; Nose; Suction

Topics: Animals; Cattle; Female; Foreign Bodies; Gastritis; Intubation, Gastrointestinal; Nasal Bone; Nasal Cavity; Nose; Reticulum

Topics: Adolescent; Foreign Bodies; Humans; Male; Molar; Nose; Tooth Avulsion

Topics: Child; Female; Foreign Bodies; Humans; Nasal Cavity; Nose; Radiography

Topics: Data Display; Ear; Endoscopes; Endoscopy; Foreign Bodies; History, 20th Century; Humans; Nose; Otolaryngology; Pharynx

Foreign bodies of the ear should be removed by irrigation, suction, or forceps. General anesthesia may be necessary. Foreign bodies of the nose should be removed with suction or forceps, and sometimes intubation may be necessary. Most foreign bodies in the throat can be removed by use of a mirror and a long hemostat.

Topics: Drainage; Ear; Foreign Bodies; Humans; Nose; Pharynx; Surgical Instruments; Therapeutic Irrigation

Topics: Aerosols; Airway Obstruction; Assisted Circulation; Bronchoscopy; Child; Croup; Drainage; Emergencies; Epinephrine; Equipment and Supplies; Foreign Bodies; Humans; Intubation, Intratracheal; Laryngoscopy; Masks; Mouth; Nose; Respiration, Artificial

Topics: Animals; Body Temperature; Capillaries; Foreign Bodies; Granulomatous Disease, Chronic; Humans; Leprosy; Nasal Mucosa; Nose; Phagocytosis

Topics: Cleft Palate; Foreign Bodies; Humans; Infant; Nose; Paper; Preoperative Care; Wood

Topics: Adult; Aged; Aspergillosis; Calculi; Diagnosis, Differential; Diagnostic Errors; Female; Foreign Bodies; Foreign-Body Reaction; Humans; Male; Nose; Nose Diseases

Topics: Adenoids; Adrenal Cortex Hormones; Airway Obstruction; Anti-Bacterial Agents; Child, Preschool; Foreign Bodies; Histamine H1 Antagonists; Humans; Hypersensitivity; Hypertrophy; Nasopharyngeal Diseases; Nose; Nose Deformities, Acquired; Nose Diseases; Otitis; Rhinitis; Sympathomimetics

Topics: Child; Female; Foreign Bodies; Humans; Male; Nose; Radiography, Dental

Topics: Foreign Bodies; Gutta-Percha; Iatrogenic Disease; Nose; Radiography; Root Canal Filling Materials; Root Canal Obturation; Silicate Cement

Topics: Bronchi; Child; Ear; Esophagus; Fluoroscopy; Foreign Bodies; Humans; Nose; Otorhinolaryngologic Diseases; Pharynx; Trachea

Topics: Child; Foreign Bodies; Humans; Nose; Respiration; Sneezing

Topics: Ear; Foreign Bodies; Humans; Nose; Otolaryngology

Topics: Endoscopes; Endoscopy; Foreign Bodies; Humans; Methods; Nose; Nose Diseases; Paranasal Sinuses; Rhinitis; Rhinitis, Allergic, Seasonal; Sinusitis

Topics: Adenoids; Airway Obstruction; Ephedrine; Foreign Bodies; Hematoma; Histamine H1 Antagonists; Humans; Hypersensitivity; Hypertrophy; Mucus; Nasal Polyps; Nasal Septum; Nose; Nose Diseases; Nose Neoplasms; Rhinitis

Topics: Adult; Calculi; Female; Foreign Bodies; Gossypium; Humans; Nose; Radiography

Topics: Age Factors; Catheterization; Child, Preschool; Ear; Female; Foreign Bodies; Humans; Infant; Infant, Newborn; Male; Methods; Nose

Topics: Catheterization; Child; Child, Preschool; Esophagus; Fluoroscopy; Foreign Bodies; Humans; Infant; Nose

Topics: Adolescent; Alloys; Facial Injuries; Foreign Bodies; Humans; Male; Nasal Mucosa; Nasal Septum; Nose

Topics: Ethmoid Bone; Foreign Bodies; Humans; Male; Nose; Radiography; Skull; Sphenoid Sinus

Topics: Child; Child, Preschool; Foreign Bodies; Humans; Methods; Nose

Topics: Bronchi; Child; Foreign Bodies; Humans; Inhalation; Methods; Nose

Topics: Anesthesia, Dental; Child, Preschool; Cleft Palate; Dental Equipment; Female; Foreign Bodies; Humans; Iatrogenic Disease; Nose; Rubber

Topics: Adolescent; Adult; Biopsy; Child; Child, Preschool; Face; Facial Neoplasms; Female; Follow-Up Studies; Foreign Bodies; Humans; Male; Methods; Nose; Plastics; Polyethylenes; Postoperative Complications; Prostheses and Implants; Surgery, Plastic

Topics: Foreign Bodies; Nose; Nursing

Topics: Adolescent; Adult; Calculi; Child; Female; Foreign Bodies; Humans; Male; Nose; Nose Diseases

Topics: Adult; Foreign Bodies; Humans; Male; Maxillary Sinus; Nose; Trismus

Topics: Child; Curettage; Ear; Foreign Bodies; Humans; Inhalation; Methods; Nose; Surgical Instruments

Topics: Aged; Calculi; Female; Foreign Bodies; Humans; Intellectual Disability; Nose; Palate; Ulcer

Topics: Anti-Bacterial Agents; Biperiden; Child, Preschool; Clostridium tetani; Diazepam; Facial Paralysis; Foreign Bodies; Humans; Male; Nose; Tetanus; Tetanus Antitoxin

Topics: Bites and Stings; Bronchi; Burns; Foreign Bodies; Humans; Inflammation; Laryngeal Diseases; Laryngeal Neoplasms; Larynx; Nose; Otorhinolaryngologic Diseases; Pharyngeal Neoplasms; Respiratory Insufficiency

Topics: Adult; Anesthesia, Inhalation; Female; Foreign Bodies; Humans; Nasopharynx; Nose; Tooth

Topics: Air; Cadaver; Foreign Bodies; Humans; Kinetics; Nasal Mucosa; Nose; Respiration; Rheology; Tracheal Stenosis

Topics: Bronchi; Craniocerebral Trauma; Ear; Esophagus; Facial Injuries; First Aid; Foreign Bodies; Humans; Nose; Tracheotomy

Topics: Child; Diagnosis, Differential; Female; Foreign Bodies; Humans; Nose; Nose Neoplasms; Osteoma; Radiography

Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Ear; Esophagus; Female; Foreign Bodies; Humans; Infant; Male; Middle Aged; Nose; Pharynx

Topics: Child; Foreign Bodies; Humans; Male; Nose; Radiography

Topics: Foreign Bodies; History of Dentistry; History, Ancient; India; Medicine in the Arts; Medicine, Ayurvedic; Nose; Tooth Extraction

Topics: Animals; Brain Injuries; Dog Diseases; Dogs; Foreign Bodies; Nose

Topics: Adult; Epistaxis; Female; Foreign Bodies; Humans; Metals; Nose; Radiography; Sutures

Topics: Ear; Foreign Bodies; Humans; Nose; Pharynx

Topics: Adenoidectomy; Adenoids; Cleft Palate; Foreign Bodies; Humans; Nasal Mucosa; Nasal Septum; Nose; Nose Deformities, Acquired; Nose Diseases; Respiration; Rhinoplasty; Speech; Tonsillectomy; Tonsillitis

Topics: Calculi; Foreign Bodies; Humans; Maxillary Sinus; Nose; Postoperative Complications; Radiography; Sinusitis; Tooth Extraction; Tooth Root

Topics: Albumins; Child; Foreign Bodies; Humans; Nasal Mucosa; Nose; Physiology; Radionuclide Imaging; Serum Albumin; Serum Albumin, Radio-Iodinated

Topics: Foreign Bodies; Humans; Infant; Male; Nose; Odorants; Suppuration; Sweat

Topics: Aged; Female; Foreign Bodies; Humans; Nose; Tooth, Supernumerary

Topics: Foreign Bodies; Humans; Nose; Skin

Topics: Anxiety; Anxiety Disorders; Chloramphenicol; Foreign Bodies; Humans; Hysteria; Neurotic Disorders; Nose; Pseudomonas Infections; Streptomycin

Topics: Adenoidectomy; Cholesteatoma; Diagnosis, Differential; Epistaxis; Foreign Bodies; Hearing Disorders; Humans; Meningitis; Nose; Otitis; Pharyngitis; Tonsillectomy; Tonsillitis

Topics: Animals; Catheterization; Colic; Foreign Bodies; Horse Diseases; Horses; Nose

Topics: Abscess; Adenoids; Foreign Bodies; Hematoma; Humans; Nasal Obstruction; Nasal Polyps; Nasal Septum; Nasopharyngeal Neoplasms; Nose; Nose Deformities, Acquired; Rhinitis; Rhinitis, Allergic, Seasonal; Rhinitis, Atrophic

Topics: Adolescent; Foreign Bodies; Humans; Nose; Orbit; Radiography; Surgical Procedures, Operative

Topics: Foreign Bodies; Humans; Nasal Cavity; Nose; Paranasal Sinuses

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Bronchi; Foreign Bodies; Humans; Magnets; Nose; Stomach

Topics: Ear; Foreign Bodies; Humans; Neck; Nose; Pharynx

Topics: Catheterization; Foreign Bodies; Humans; Nasopharynx; Nose; Urinary Catheters

Topics: Ear; Foreign Bodies; Humans; Nose

Topics: Ear; Foreign Bodies; Humans; Nose; Pharynx

Topics: Foreign Bodies; Humans; Nasopharynx; Nose; Pharynx

Topics: Ear; Equipment and Supplies; Foreign Bodies; Humans; Nose; Otolaryngology; Surgical Instruments

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Tooth Extraction

Topics: Child; Ear; Foreign Bodies; Humans; Nose

Topics: Foreign Bodies; Humans; Nose; Paranasal Sinus Diseases; Paranasal Sinuses

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Dental Caries; Foreign Bodies; Humans; Nasal Cavity; Nasal Mucosa; Nose; Sympathomimetics

Topics: Foreign Bodies; Humans; Maxillary Sinus; Medical Records; Nasal Polyps; Nose; Paranasal Sinus Diseases

Topics: Ear; Foreign Bodies; Humans; Larynx; Nasal Cavity; Nose; Pharynx

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Foreign Bodies; Humans; Nasal Cavity; Nose

Topics: Foreign Bodies; Humans; Maxilla; Maxillary Sinus; Nose

Topics: Aluminum; Foreign Bodies; Humans; Nasal Cavity; Nose; Paranasal Sinuses; Play and Playthings

Topics: Foreign Bodies; Frontal Sinus; Frontal Sinusitis; Humans; Nose; Paranasal Sinus Diseases; Sinusitis

Topics: Asthma; Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases; Postoperative Hemorrhage

Topics: Calculi; Dental Caries; Foreign Bodies; Humans; Lithiasis; Nasal Cavity; Nose; Salivary Gland Calculi; Salivary Glands

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Ear; First Aid; Foreign Bodies; Humans; Nose; Pharynx

Topics: Foreign Bodies; Humans; Nose; Paranasal Sinus Diseases; Paranasal Sinuses

Topics: Ear Canal; Ear, External; Esophagus; Foreign Bodies; Humans; Nasal Cavity; Nose; Numismatics; Paranasal Sinuses

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Dental Caries; Foreign Bodies; Humans; Nasal Cavity; Nose; Paranasal Sinuses

Topics: Dacryocystitis; Foreign Bodies; Humans; Nasal Cavity; Nose

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Dental Caries; Foreign Bodies; Headache; Humans; Nasal Cavity; Nasal Obstruction; Nose

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Dental Caries; Foreign Bodies; Humans; Nasal Cavity; Nose; Torso

Topics: Child; Foreign Bodies; Humans; Infant; Infant, Newborn; Infant, Newborn, Diseases; Nasal Cavity; Nose; Nose Diseases; Rhinitis

Topics: Biological Phenomena; Foreign Bodies; Hibernation; Humans; Nasal Cavity; Nose; Tetanus; Tetanus Toxoid

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Ophthalmology; Paranasal Sinus Diseases

Topics: Foreign Bodies; Frontal Sinus; Humans; Nose; Paranasal Sinus Diseases

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Dental Caries; Foreign Bodies; Humans; Nasal Cavity; Nose; Tetanus; Tetanus Toxoid; Torso

Topics: Emergencies; Epistaxis; Foreign Bodies; General Practitioners; Humans; Neck; Nose; Pharynx; Trachea

Topics: Foreign Bodies; Humans; Nose

Topics: Foreign Bodies; Humans; Nasal Cavity; Nose

Topics: Angioedema; Foreign Bodies; Humans; Nose

Topics: Foreign Bodies; Humans; Nose; Tetanus; Tetanus Toxoid

Topics: Digestive System; Ethmoid Sinus; Foreign Bodies; Humans; Nose; Paranasal Sinus Diseases; Paranasal Sinuses; Respiratory System

Topics: Digestive System; Foreign Bodies; Humans; Nose; Respiratory System

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Ethmoid Sinus; Foreign Bodies; Humans; Nose; Paranasal Sinus Diseases

Topics: Ethmoid Sinus; Foreign Bodies; Humans; Nose; Paranasal Sinus Diseases

Topics: Foreign Bodies; Humans; Maxillary Sinus; Nose; Paranasal Sinus Diseases

Topics: Digestive System; Food; Foreign Bodies; Humans; Nose; Respiratory System

Topics: Digestive System; Food; Foreign Bodies; Humans; Nose; Respiratory System

Topics: Fistula; Foreign Bodies; Humans; Nose; Paranasal Sinuses